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For Relief of Rapid Transit and the Short Bowel Syndrome

William R. Waddell, MD; Fred Kern, Jr., MD; Charles G. Halgrimson, MD; James J. Woodbury, MD

AMA Arch Surg. 1970;100(4):438-444.

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

In the past few years there have been increasing needs for and interest in creation of valves to delay transit of small bowel content into the colon following resection of small bowel and disruption of the normal physiologic mechanisms for control of motor function of the small bowel and colon. The increasing need stems from numerous immediately successful massive small bowel resections. It is also recognized that loss of the ileocecal valve mechanism aggravates deficiencies resulting from bowel resection. Several methods have been suggested. A few patients have had interposition of short reversed segments of jejunum^1-7 and there have been numerous evaluations of such procedures in animals.^5,8-13 More recently Schiller et al reported on the removal of segments of longitudinal muscle layer of small bowel, thereby interrupting peristalsis and creating short areas of functional or anatomic stenosis.¹⁴ Other procedures include recirculating loops,^2-15 gastric tubes¹¹ and . . . [Full Text PDF of this Article]

Author Affiliations
Denver

From the departments of surgery (Drs. Waddell and Halgrimson) and medicine (Drs. Kern and Woodbury), University of Colorado Medical School, Denver.

Footnotes
Accepted for publication Dec 10, 1969.

Read before the 77th annual meeting of the Western Surgical Association, Dallas, Nov 21, 1969.

Reprint requests to University of Colorado Medical Center, Department of Surgery, 4200 E Ninth Ave, Denver 80220 (Dr. Waddell).

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