This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

OWEN H. WANGENSTEEN, M.D.; REINHOLD O. GOEHL, B.S.

Arch Intern Med. 1930;46(4):669-679.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The persistently poor results obtained by surgeons in acute intestinal obstruction are in a large measure due to delay in diagnosis. Clinicians have been disposed to place a good deal of reliance on the expulsion of an enema as evidence militating against the presence of mechanical obstruction in the bowel, and there exists a general unwillingness to accept the diagnosis of acute obstruction of the intestine as long as enemas continue to be returned with the expulsion of gas and feces.

In this study an attempt has been made to evaluate the significance of the expulsion of enemas as a criterion of intestinal obstruction.

In a series of nine dogs, obstructions of varying types were established, and Noble's enemas were subsequently administered. In four animals a high jejunal complete obstruction was established by severing the bowel and inverting the proximal end; the distal end was brought up and anchored to . . . [Full Text PDF of this Article]

Author Affiliations
MINNEAPOLIS

From the Department of Surgery, University of Minnesota.

Footnotes
Submitted for publication, April 12, 1930.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?