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Early Detection

JOHN A. DIXON, MD; RUSSELL L. NICHOLS, MD; DANIEL C. HUNTER, JR., MD

AMA Arch Surg. 1964;88(4):527-532.

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

Introduction

Early recognition of situations where compromise of the blood supply to the intestine is present is much to be desired. Coexisting intestinal obstruction makes early diagnosis even more imperative. One of the most frequently used diagnostic aids, the x-ray of the abdomen, has been found to be generally unreliable in this condition.^1,2 An interesting finding in several large series of cases was that an average of 35% of the cases of severe strangulation obstruction never presented gas and fluid levels characteristic of an intestinal obstruction.³ Early investigations led us to feel that strangulation must produce a diminution of gas and fluid transport which might be utilized in the differentiation of simple from strangulation obstruction. Vest⁴ administered oral sodium diatrizoate (Hypaque) to a small series of dogs and concluded that failure of passage of the material from the stomach and duodenum occurred with strangulation obstruction. It is . . . [Full Text PDF of this Article]

Author Affiliations
OGDEN, UTAH

Assistant Clinical Professor of Surgery, University of Utah, College of Medicine (Dr. Dixon and Dr. Hunter). Radiologist, Thomas D. Dee Memorial Hospital (Dr. Nichols).; From the Department of Surgery, University of Utah College of Medicine, and Departments of Radiology and Surgery, Dee Hospital.

Footnotes
Read before the 71st Annual Session of the Western Surgical Association, Galveston, Tex, Nov 21-23, 1963.

This investigation was supported by Public Health Service research grants AM 06633-01 RAD and AM 07857-01 RAD from the Institute of Arthritis and Metabolic Diseases.

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