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III. SIMPLE OBSTRUCTION: A STUDY OF THE CAUSE OF DEATH IN MECHANICAL OBSTRUCTION OF THE UPPER PART OF THE INTESTINE

OWEN H. WANGENSTEEN, M.D., Ph.D.; STANLEY S. CHUNN, M.B.

Arch Surg. 1928;16(6):1242-1255.

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

There are two fairly distinct types of intestinal obstruction, clinically as well as experimentally; in one the continuity of the intestinal canal has been interrupted; in the other gross evidence of damage to the obstructed segment exists in addition to a break in the continuity of the tract. These forms have aptly been described as simple and strangulation obstruction.¹

Early clinicians and investigators thought that in simple occlusion of the bowel, the wall became permeable to bacteria in the intestine, and peritonitis and bacterial invasion of the organism brought about a lethal outcome.² Such a contention has been set aside by subsequent investigation, as well as by the frequent opening of the abdomen, under aseptic conditions of both patients and dogs with obstruction.

Amussat³ is generally looked on as being the originator of the intoxication theory for the explanation of symptoms and death in intestinal obstruction. This . . . [Full Text PDF of this Article]

Author Affiliations
MINNEAPOLIS

From the Department of Surgery of the University of Minnesota.

Footnotes
Presented before the Minnesota Pathological Society.

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