[Skip to Navigation]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 18.206.177.17. Please contact the publisher to request reinstatement.
Article
June 1953

RESULTS OF TREATMENT OF ACUTE SMALL BOWEL OBSTRUCTION: Clinical Study of Two Hundred Five Consecutive Cases

Author Affiliations

EVANSTON, ILL.
Senior Surgical Resident, St. Francis Hospital (Dr. Bollinger).; Assistant Professor of Surgery, University of Illinois College of Medicine (Dr. Fowler).; From the Departments of Surgery, St. Francis Hospital, Evanston, Ill., and University of Illinois College of Medicine, Chicago.

AMA Arch Surg. 1953;66(6):888-904. doi:10.1001/archsurg.1953.01260030908020
Abstract

SMALL bowel obstruction has always been a serious problem, but the over-all mortality rate, which in 1908 was reported by Scudder1 to be 60%, has successively fallen to 44%, as reported by McIver2 in 1932, and to 17.9%, after the introduction of the intestinal decompression method in 1933, as reported by Wangensteen3 in 1939. More recently, Moses4 in 1946 reported a mortality rate of 8%, but in his series he did not include cases of congenital atresia, which are notoriously associated with a high mortality rate; West and Schetlin,5 though they included neither cases of atresia nor of mesenteric thrombosis, reported a mortality rate of 16.3% in 1950.

ANALYSIS OF CLINICAL MATERIAL  Our clinical material is drawn from a nonuniversity hospital of 375 beds and 75 bassinets during the period of 1945 to 1951. During this time, there were 98,590 hospital admissions, of which 43,490

×