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Article
October 1936

MECHANICAL DECOMPRESSION OF THE INTESTINE IN TREATMENT OF ILEUS: II. EFFECT OF INTESTINAL ACTIVITY

Author Affiliations

NEW ORLEANS
From the Department of Surgery, the Tulane University of Louisiana School of Medicine.

Arch Surg. 1936;33(4):670-695. doi:10.1001/archsurg.1936.01190040128009
Abstract

The production of simple relief from block in cases of acute mechanical intestinal obstruction associated with pronounced distention is not followed by evacuation of the fluid and gaseous contents of the distended loops of intestine for at least many hours. For this reason it has occurred to many clinicians that it is sometimes advisable to perform enterostomy and to evacuate the contents of the distended bowel by stripping, or milking, at the time of operation, as illustrated in figure 1 in the first paper in this series. Clinicians who have advocated the procedure expressed the belief that only by this means can the hydraulic vicious circle which develops in association with advanced intestinal obstruction be interrupted. On the other hand, physicians who are opposed to the method believe that more conservative measures are preferable and that the shock, the danger of peritonitis involved in such a procedure and the increase

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