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 ......
ARTICLE |

The Clinical Management of Intestinal Obstruction

WALTER J. BURDETTE, M.D.; LAWRENCE E. STEVENS, M.D.
Arch Surg. 1961;83(1):120-129. doi:10.1001/archsurg.1961.01300130124015.
Text Size: A A A
Published online

Much of the controversy which persists in the treatment of patients with bowel obstruction concerns the decisions of whether and when to advise celiotomy. In view of these and other differences of opinion and continued advances in therapy, the experience obtained in treating obstruction on the Surgical Service of the University of Utah at the Salt Lake Veterans Administration Hospital has been utilized in formulating a rational method of management.

Plan of Management  Seventy-six patients with 88 episodes of obstruction were admitted during the decade 1948 to 1958. Males predominated 73 to 3, and the ages ranged from 21 to 84 years. This group was limited to those with a history of vomiting, distention, cramping abdominal pain, the roentgenographic demonstration of distended bowel, and/or proof of mechanical obstruction at surgery or autopsy. Patients with obstruction of pylorus or anal canal were excluded from the study. The plan of management adopted

Topics

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.

Jobs
brightcove.createExperiences();