Clarence Dennis, M.D.
JAMA. 1954;154(6):463-468. doi:10.1001/jama.1954.02940400001001.
Text Size: A A A
Published online

The mortality associated with acute obstruction of the jejunum or ileum has progressively improved since the 40% figures seen before Wangensteen's introduction of nasal suction siphonage. The most recent available figures suggest a mortality rate of about 11%.1 Although the occurrence of ileac obstruction is therefore not as catastrophic now as it formerly was, it still commands a very real risk and is worthy of most thorough consideration.

Failure of the small intestine to transport and handle material normally may be due either to actual mechanical obstruction to the lumen thereof or to paresis of the musculature of the intestine. The latter condition is seen in inflammatory reaction surrounding the involved segment or occurs reflexly in association with such conditions as renal colic or retroperitoneal hematoma. It is with mechanical complete acute obstruction that this paper is concerned.

The anatomical factors underlying such obstruction, in the approximate order of


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.