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SOME RECENT STUDIES ON INTESTINAL OBSTRUCTION 1
Author(s) -
Kellaway C. H.
Publication year - 1935
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1935.tb03493.x
Subject(s) - medicine , distension , ileus , abdominal distension , etiology , surgery , bowel obstruction , ileum
Summary Summarizing this brief and very incomplete review, it appears that the dominant factor in simple obstruction in the ileum and in functional ileus is distension; in simple obstruction high in the bowel it is loss of water and salts; in strangulation of long loops, loss of blood from effective circulation; and in strangulation of shorter loops, toxaemia. These etiological considerations determine the principles of treatment which may be briefly summed up as follows: (a) In functional obstruction, to reduce distension. (b) In mechanical obstruction, to relieve the obstruction, to combat dehydration and demineralization, and to relieve distension. (c) In strangulation, to maintain the blood volume, and to remove the source of toxin from the abdominal cavity.