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Are Adjunctive Surgical Procedures Necessary?

ALLYN G. MAY, MD; CLAY E. PHILLIPS, MD; CHARLES D. SHERMAN, MD

AMA Arch Surg. 1966;92(3):344-348.

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

EARLIER diagnosis and better surgical management of mesenteric infarction has increased the number of patients arriving at a stage of chronic malabsorption consequent to massive intestinal resection.

Prominent among efforts to minimize nutritional deficiency after massive bowel resection has been surgical alteration of bowel continuity and of normal peristaltic dynamics (Table 1). Investigation in this direction has usually been carried out in dogs. Segments of small bowel have been reversed so that antiperistalsis would retard passage of intestinal contents and would thus allow greater time for absorption of nutrients.^1,2 Construction of loops of residual small intestine to allow recirculation of food through the same segment several times before its passage to the large intestine has been tried.³ The combination of a reversed intestinal segment distal to a recirculating loop has also been studied.^4,5 Pyloroplasty and vagotomy was found to improve bowel function and absorption after massive intestinal . . . [Full Text PDF of this Article]

Author Affiliations
ROCHESTER, NY

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

Footnotes
Submitted for publication Nov 11, 1965.

Reprint requests to 260 Crittenden Blvd, Rochester, NY 14620 (Dr. May).

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