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Strangulation Intestinal ObstructionA Clinical Appraisal
LaSALLE D. LEFFALL, JR., MD;
JOSEPH QUANDER, MD;
BURKE SYPHAX, MD
AMA Arch Surg. 1965;91(4):592-596.
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DESPITE the advances made in the diagnosis and management of intestinal obstruction, the mortality rate from strangulation obstruction has not improved significantly during the past 20 years. Zollinger related this static mortality rate to (1) delays in diagnosis, (2) uncertain management after the diagnosis is made, (3) insufficient preoperative preparation, and (4) technical errors.1 Cognizant of this unchanging mortality at our hospital, we undertook a critical analysis of all cases of strangulation obstruction that had progressed to gangrene which occurred in a 15-year period (1949-1963) to ascertain what findings, if any, would permit earlier diagnosis and treatment. All factors in these cases were carefully evaluated to determine their role in such patients.
Clinical Material
Fifty-two cases of gangrenous intestinal obstruction at the Freedmen's Hospital (teaching hospital for Howard University College of Medicine) are included in this study. During this 15-year period, there were approximately 1,700 admissions for intestinal obstruction.
. . . [Full Text PDF of this Article]
Author Affiliations
WASHINGTON, DC
From the Department of Surgery, Howard University College of Medicine. Assistant Professor (Dr. Leffall), Resident in Surgery (Dr. Quander), and Professor and Head of Department (Dr. Syphax). Dr. Quander is presently a captain in the USAF Medical Corps in Atlanta, Ga.
Footnotes
Submitted for publication March 23, 1965.
Reprint requests to Freedmen's Hospital, Sixth and Bryant St, Washington, DC 20001 (Dr. Leffall).
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