0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Invited Critique |

Mechanical Bowel Obstruction:  A Tale of 2 Eras
Comment on “Change in Mechanical Bowel Obstruction Demographic and Etiological Patterns During the Past Century”

Robert Kozol, MD, MSA
Arch Surg. 2012;147(2):180. doi:10.1001/archsurg.2011.1415.
Text Size: A A A
Published online

Extract

Drożdż and Budzyński1 offer a comparative study of mechanical bowel obstruction at the same institution in Poland during 2 periods, 1868 through 1898 and 2000 through 2003. The information provides insight into medicine and surgery in the distant past. Differences in the etiology of obstruction in the 2 periods can be explained in part by multiple factors. First, public health in the 19th century was poor and is reflected in the short life expectancy and the frequency of infectious diseases that are rarely seen today. With the short life expectancy, we would not expect the number of colon cancers or cases of sigmoid diverticulitis that are seen today with patients living beyond 70, 80, or 90 years of age. We would expect the higher surgical mortality in the 19th century considering the lack of intravenous resuscitation, blood transfusions, and antibiotics, among other factors.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Jobs
brightcove.createExperiences();