The management of acute intestinal obstruction: A critical review of 179 personal cases

Savage, Paul T.

doi:10.1002/bjs.18004720611

Cited by 24 publications

(2 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our operative mortality is of the same order as in several Western series (Nemir, 1951;Smith et al, 1955;Savage, 1960). The major adverse factors in intestinal obstruction, i.e.…”

Section: Discussionsupporting

confidence: 72%

The pattern of intestinal obstruction in Malaysia

1976

Journal of British Surgery

View full text Add to dashboard Cite

This is a review of 261 patients operated for 271 instances of mechanical intestinal obstruction over a 5-year period in a developing country in the tropics. The pattern of intestinal obstruction in Chinese is similar to that in Caucasians, where adhesions account for the largest number of cases. The occurrence in Malays, Indians, Pakistanis and Ceylonese is similar to that in other developing communities where external hernia is commonest while adhesive or tumour obstruction is rare; however, these racial groups do not exhibit the high incidence of intussusception and volvulus found in Africa and India. The operative mortality was 13-9 per cent, which is comparable to that in Western series. The major adverse factors in intestinal obstruction, i.e. extremes of age, associated disease, gangrenous bowel, large bowel obstruction and malignancy, were confirmed. Fluid and electrolyte imbalance was frequent, as in other tropical series, but with intensive preoperative correction it was not an important adverse factor.

show abstract

“…Our operative mortality is of the same order as in several Western series (Nemir, 1951;Smith et al, 1955;Savage, 1960). The major adverse factors in intestinal obstruction, i.e.…”

Section: Discussionsupporting

confidence: 72%

The pattern of intestinal obstruction in Malaysia

1976

Journal of British Surgery

View full text Add to dashboard Cite

show abstract

“…Obstruction of the large bowel alone occurred in just over 1 % of the present series, while in London (Savage, 1960) this figure was about 300, excluding strangulated hernia.…”

mentioning

confidence: 49%

A review of 436 cases of intestinal obstruction in Ibadan

Cole¹

1965

Gut

View full text Add to dashboard Cite

Gangrene of the cæcum following closed abdominal injury

Penn

Mendels

1962

Journal of British Surgery

View full text Add to dashboard Cite

AN unusual effect of closed abdominal trauma is gangrene of the caecum. A study of the English language literature on this subject Over the last 3o years reveals only of which followed war injuries. A further case is reported here and the literature briefly reviewed.his recovery, the patient recalled that he had been kicked in the dxbmen at the time of the assault.HIsToL0GY.-Microscopic examination of the caecum showed gangrene of the wall and acute peritonitis. Section of the appendix showed acute peritonitis with the inflammatory exudate extending inwards to the muscle There was no inflammation of the mucosa.reports, CASE REPORTJ. H., an African male, aged 30 years, was admitted to Baragwanath Hospital on Jan. at, 1961, having been assaulted 24 hours previously. He had been concussed, and had multiple lacerations of the scalp and the hands and a fracture of the shaft of the left humerus, for which he was treated appropriately. There were no signs of abdominal injury on admission. The following day he complained of mild pain in the right iliac fossa and examination revealed some local tenderness. Forty-eight hours after admission he complained of more severe pain, still localized in the right iliac fossa. At this stage he complained of constipation during the previous a days. There was neither nausea nor vomiting. He denied having sustained abdominal trauma.Examination revealed tenderness and voluntary guarding in the right iliac fossa and bowel-sounds were absent. The pulse-rate was 120 per minute and the temperature 100.2' F. These features pointed to the possibility of the patient having sustained an intra-abdominal injury at the time of his assault, but the possibility of an independent lesion such as an acute appendicitis could not be excluded. A laparotomy was performed.AT OPERATION (I. I?.).-Exploration, through a right paramedian incision, revealed a small quantity of dark-red blood in the peritoneal cavity, a 2-in. laceration in the left leaf of the pelvic mesocolon, and a a-in. Y-shaped laceration in the mesentery of the small bowel at the jejuno-ileal junction. Immediately adjacent to the mesenteric laceration there was a blue, edematous ring, half an inch wide, which had evidently resulted from interference with the blood-supply to this area.Examination of the CBecum showed that a 2 x 2-in. area immediately lateral to the base of the appendix was gangrenous. There was no perforation in the caecum but a small quantity of foul-smelling turbid fluid lay adjacent to it and some loops of small bowel were adherent to the gangrenous area. The wall of the crecum and ascending colon adjacent to the gangrenous area was thickened and edematous. The ileo-colic artery appeared to be normal. The adherent loops of small bowel were freed and the gangrenous area excised at its junction with the viable caecum. On the interior of the edematous area of the caecum there were several isolated grey necrotic patches at the apices of the mucosal folds. The mucosa between these patches was cedematous but otherwise normal.The ...

show abstract

The management of acute intestinal obstruction: A critical review of 179 personal cases

Cited by 24 publications

References 14 publications

The pattern of intestinal obstruction in Malaysia

The pattern of intestinal obstruction in Malaysia

A review of 436 cases of intestinal obstruction in Ibadan

Gangrene of the cæcum following closed abdominal injury

Contact Info

Product

Resources

About