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 |

Experimental Attempt to Delay Alimentary Transit After Small Bowel Exclusion

WALTER H. GERWIG JR., MD; ALFRED GHAPHERY, MD
Arch Surg. 1963;87(1):34-41. doi:10.1001/archsurg.1963.01310130036005.
Text Size: A A A
Published online

Extensive resections of the small bowel can now be performed with minimal immediate mortality. Surgeons no longer need to harbor great concern for the procedure itself but must recognize that the maintenance of adequate nutrition continues to be a serious problem. In cases of superior mesenteric artery occlusion, often a major portion of the small bowel and, frequently, the right half of the colon must be resected. Such patients, even if they survive surgery, usually die of starvation within months. It is a frustrating and helpless experience to watch an individual deteriorate because the bowel is unable to provide adequate utilization of ingested food.

The response to extensive resection of the small intestine in man is followed by a variable and unpredictable outcome. This depends upon the magnitude of the resection, the length and viability of the remaining bowel, the presence or absence of the ileocecal valve, and possibly a

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();