This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
ON MANY occasions the surgeon is confronted with the problem of whether or not an intestinal segment is viable. This is especially true in emergency situations, as when an operation is performed for incarcerated and/or strangulated hernias or for intestinal obstruction. At the operating table valuable time elapses as the surgeon waits patiently to ascertain the return of a bowel loop to normalcy. Since most patients with these conditions are not the best operative condidates, the additional period of anesthesia and exposure of the peritoneal cavity to the atmosphere increases the morbidity. Often this delay, lingering and waiting, is a major factor in producing death.
Thus a rapid diagnostic criterion of viability of the small bowel is of practical importance. Observation at the operating table in this type of situation has brought to light such a criterion. In addition to the clinical observation, experimental evidence in animals is offered in
FICARRA BJ. SIGNIFICANCE OF THE SEROSAL ARTERIOLES IN RESUSCITATION OF THE SMALL BOWEL. Arch Surg. 1949;59(5):1135–1138. doi:10.1001/archsurg.1949.01240041145013
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: