We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
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 ......


Arch Surg. 1941;43(5):850-857. doi:10.1001/archsurg.1941.01210170117009.
Text Size: A A A
Published online

The immediate mortality rate after surgical intervention in the treatment of well developed gastrocolic fistula is disturbingly high, and yet the prognosis for the disease if treated by medical means alone is exceedingly poor. Nearly all patients treated medically die of progressive inanition, avitaminosis or intercurrent infection. Verbrugge1 reported a series of 20 cases in which 5 patients died after operation; the mortality rate was thus 25 per cent. Loewy2 collected reports of 63 cases; the operative mortality rate in this group was 27 per cent. Allen3 reported 8 cases with 2 deaths; Lahey and Swinton4 reported an immediate mortality rate of 63 per cent in 8 cases and Rife5 a mortality rate of 20 per cent in 14 cases. A high mortality rate seems to accompany any type of operation performed in one stage, regardless of the technic employed or the quality of the


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview





Also 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.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
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


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

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

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