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May 1929, Vol 18, No. 5 >
ARTICLE | May 1929

ENTEROSTOMY IN THE TREATMENT OF GENERAL PERITONITIS

THOMAS G. ORR, M.D.; RUSSELL L. HADEN, M.D.
Arch Surg. 1929;18(5):2159-2166. doi:10.1001/archsurg.1929.01140140115005.
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The subject of intestinal drainage in intestinal obstruction and peritonitis has been much discussed since the work of Victor Bonney1 in 1910, in which he emphasized the importance of this method of treatment. Summers,2 MacKinnon,3 C. H. Mayo,4 Taylor,5 Walker,6 Wilkie,7 Long8 and Lee and Downs9 have all written of the value of high jejunostomy or enterostomy in the treatment for acute intestinal obstruction. MacKinnon is so enthusiastic concerning this method of treatment that he uses high jejunostomy in treating patients with other postoperative conditions in which abdominal distention or paralytic ileus are likely to occur; he terms it "complimental jejunostomy." The report of Van Beuren and Smith10 and recent experimental work have been a signal to stop and consider just what results are generally being obtained with drainage of the intestine in obstructions. Van Beuren and Smith stated that

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