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THOMAS S. NELSEN, MD; CHRISTOPHER J. ANDERS, MB, FRCS

AMA Arch Surg. 1966;93(2):309-314.

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

THE INTRINSIC resistance of the gut to rupture from intraluminal pressure increase is of importance to surgeons from several points of view, particularly when considered in relation to the strength of healing anastomoses. The pattern of events in the healing process in general is well documented in reviews.^1,2,3 Healing of intestinal anastomoses has been studied in some detail and tends to follow a characteristic pattern.

Sandblom³ and Harvey and Howes⁴ reported that the healing intestinal wound has an initial lag period during which it has no intrinsic strength. Each day thereafter there was a rapid increase in strength up to the tenth day, at which time the wound was as strong as normal bowel. Harvey's⁵ data indicate a strength of 50% to 60% of eventual maximum on the seventh day. Only Sandblom gives credit to Chlumsky⁶ for his pioneering work on the strength of . . . [Full Text PDF of this Article]

Author Affiliations
PALO ALTO, CALIF

From the Department of Surgery, Stanford University School of Medicine, Palo Alto.

Footnotes
Submitted for publication Dec 16, 1965.

Read before the Society for Surgery of the Alimentary Tract, Chicago, June 25-26, 1966.

Reprint requests to 3000 Pasteur Dr, Palo Alto, Calif 94394 (Dr. Nelsen).

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