0
ARTICLE |

FACTORS RESPONSIBLE FOR IMPROVED RESULTS IN THE MANAGEMENT OF ACUTE INTESTINAL OBSTRUCTION

CHARLES W. McLAUGHLIN Jr., M.D.; JOHN H. BRUSH, M.D.
Arch Surg. 1950;61(1):115-122. doi:10.1001/archsurg.1950.01250020118013.
Text Size: A A A
Published online

ABSTRACT

THE PURPOSE of this paper is to report the striking improvement which has occurred in the management of acute intestinal obstruction in the past five years and to analyze the responsible factors. The material consists of a total group of 205 patients with acute intestinal obstruction, of whom 126 were private patients and 79 were charity patients seen in the University Hospital. The first group, totaling 80 patients, was treated between the years 1935 and 1942, with a mortality of 20.3 per cent. In the second series of 125 cases, observed between 1946 and 1949, the mortality was reduced to 8.8 per cent. We believe that this striking reduction in the mortality results from a number of factors which may be enumerated as follows: (1) earlier diagnosis caused by our being obstruction conscious; (2) prompt intubation in all cases of obstruction of the small bowel when distention is present; (3)

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

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.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

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

Sign In to Access Full Content

Related Content

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

Jobs
brightcove.createExperiences();