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Fluid Losses Accompanying Enterotomy in Hydrated and Dehydrated Dogs

WILLIAM T. REDFERN, M.D.; A. STEPHEN CLOSE, M.D.; EDWIN H. ELLISON, M.D.

AMA Arch Surg. 1961;83(1):27-31.

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

Patients operated upon for small bowel obstruction generally require more than the usual amount of early postoperative salt and water administration to maintain an adequate urine flow. The accepted explanation is that the surgical trauma results in additional fluid shifts into the peritoneum, gut wall, and mesentery. Gendel and Fine in 1940^1,2 suggested that enterotomy minimized this shift by reducing distention. Our observations do not support this suggestion. We have noted that occasional patients undergoing surgical procedures for relief of small bowel obstruction have developed significant hypotension, tachycardia, and diminished urine flow shortly after surgery, or even during the late stages of operation. A review of our hospital records of simple small bowel obstruction has substantiated our impression that this hypotension occurs more frequently when enterotomy is performed in addition to lysis of adhesions. In every instance, when this hypotension was treated with relatively large amounts of colloid, blood, . . . [Full Text PDF of this Article]

Author Affiliations
MILWAUKEE

From the Divisions of Surgery, Marquette University School of Medicine, and the Surgical Service, Wood Veterans Administration Hospital, Milwaukee.

Footnotes
This paper was read at the 68th Annual Meeting of the Western Surgical Association, Detroit, Dec. 2, 1960.

Supported in part by the National Institutes of Health Program, Grant No. 214-U, and by National Institutes of Health Grant No. A-4150.

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