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WILLIAM SILEN, M.D.; MICHAEL F. HEIN, M.D.; LEON GOLDMAN, M.D.

AMA Arch Surg. 1962;85(1):121-129.

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

Treatment of acute obstruction of the small intestine continues to be controversial. Some authorities recommend early surgical intervention and others prefer nonoperative intestinal intubation as the basis for therapy. The latter approach of necessity is based on the premise that the clinical recognition of the presence of strangulation is precise, since this type of obstruction is uniformly fatal without operation. The proponents of primary nonoperative therapy of intestinal obstruction^1-4 indicate that careful and frequent evaluation of the patient, continually observing for tenderness, rigidity, hypoperistalsis, the presence of a mass, fever, tachycardia, and leukocytosis will result in the correct diagnosis of strangulation in the vast majority of cases. On the other hand, advocates of a basically surgical approach to the treatment of obstruction of the small intestine dispute this contention.^5-10 The present study has been carried out to ascertain the reliability of various criteria used to aid in the . . . [Full Text PDF of this Article]

Author Affiliations
SAN FRANCISCO

From the Department of Surgery, University of California Medical Center.

Footnotes
Read at the 69th Annual Session of the Western Surgical Association, San Francisco, Nov. 30, 1961.

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