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May 14, 1949, Vol 140, No. 2 >
ARTICLE | May 14, 1949

ACUTE OBSTRUCTION OF THE SMALL BOWEL

F. A. COLLER, M.D.; R. W. BUXTON, M.D.
JAMA. 1949;140(2):135-139. doi:10.1001/jama.1949.02900370003002.
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The physiologic and pathologic abnormalities caused by acute obstruction of the small bowel have been studied in many clinics and laboratories. The result has been a better understanding of the problem, but the mortality rate for these lesions is still high. A survey of 198 patients with this lesion, observed in the University Hospital in the years 1934 to 1947, has been made and subjected to critical analysis, with the hope of improving the diagnosis and treatment in similar cases in the future. In all patients included in the study the diagnosis of mechanical intestinal obstruction and its causation was confirmed by operation or necropsy. Patients with primary paralytic ileus and those with nonoperative relief of obstruction have been excluded. It is now recognized1 that the fluids lost by vomiting and other mechanisms, together with the absent intake of food and drink, result in profound dehydration from water and

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