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March 1962

The Significance of Intussusception: Review of 96 Cases

Author Affiliations

Department of Surgery, Tulane University of Louisiana, School of Medicine.; Department of Surgery, Seton Hall College of Medicine and Dentistry (Dr. Abbott); Department of Surgery, Tulane University of Louisiana, School of Medicine (Dr. Cabell and Dr. Creech).

Arch Surg. 1962;84(3):365-370. doi:10.1001/archsurg.1962.01300210099020

Introduction  Intussusception, the telescoping of one segment of intestine into the lumen of an immediately adjacent segment, has long been recognized as a cause of intestinal obstruction. Its treatment with enemas and insufflation was described by Hippocrates in the fourth century B.C., and abdominal exploration for its correction was proposed by Praxagoras. The second paper the great anatomist of the 18th century, John Hunter, read before the Society for the Improvement of Medical and Chirurgical Knowledge was on "Introsusception," and "his clear and minute description of the mechanism and anatomy of intussusception could hardly be improved upon to the present day," according to Clubbe. However, treatment of intussusception lagged behind. As recently as 1884, Treves in his book, Intestinal Obstruction, described spontaneous cure after sloughing of the gangrenous intussusceptum as the most common circumstance leading to recovery, stating that the over-all mortality rate for intussusception was about 70%. Clubbe credits

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