HIGH JEJUNOSTOMY IN INTESTINAL OBSTRUCTION

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Abstract
Since the writings of Victor Bonney,1considerable interest has been manifested in jejunostomy as a treatment of acute intestinal obstruction and paralytic ileus. It has been advocated especially in those severely toxic cases in which a more radical operation to relieve obstruction would be dangerous to life. Bonney writes: I hold strongly that all cases of paralytic intestinal obstruction (whether primary or secondary to an organic obstruction or to peritonitis), when advanced to the stage of fecal, or short of fecal, intestinal vomiting, should be treated by jejunostomy. By making an opening into the jejunum in a case of fecal or intestinal vomiting, the source of the vomit is directly tapped and free drainage of the toxic material is established. No patient should be allowed to die with fecal vomiting if it is possible to perform this operation. Its effect in many cases has been remarkable; in all of

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