DECOMPRESSION OF THE SMALL INTESTINE IN THE TREATMENT OF INTESTINAL OBSTRUCTION

8 October 1938

journal article
research article
Published by American Medical Association (AMA) in JAMA

Vol. 111 (15) , 1365-1368
https://doi.org/10.1001/jama.1938.02790410021006

Abstract

The role of distention as an important factor in the initiation of conditions which lead to a fatal outcome of intestinal obstruction has been well demonstrated within the last few years. The work of Ward¹and of Wangensteen^1awith respect to the beneficial effects of gastric or duodenal suction is based largely on the proposition that with relief of distention not only does the patient become more comfortable but in many cases the release of tension above the obstruction permits passage of the intestinal contents through the narrowed lumen of the bowel. The role of distention in the initiation of vomiting, the common precursor of loss of fluid and salt in cases of intestinal obstruction, has been well studied by Herrin and Meek.²These authors pointed out that it is possible to produce the symptoms and sequelae of intestinal obstruction in animals by distention even though obstruction

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