0
ARTICLE |

EVALUATION OF THE EXPULSION OF ENEMAS AS A CRITERION OF INTESTINAL OBSTRUCTION

OWEN H. WANGENSTEEN, M.D.; REINHOLD O. GOEHL, B.S.
Arch Intern Med (Chic). 1930;46(4):669-679. doi:10.1001/archinte.1930.00140160119012.
Text Size: A A A
Published online

The persistently poor results obtained by surgeons in acute intestinal obstruction are in a large measure due to delay in diagnosis. Clinicians have been disposed to place a good deal of reliance on the expulsion of an enema as evidence militating against the presence of mechanical obstruction in the bowel, and there exists a general unwillingness to accept the diagnosis of acute obstruction of the intestine as long as enemas continue to be returned with the expulsion of gas and feces.

In this study an attempt has been made to evaluate the significance of the expulsion of enemas as a criterion of intestinal obstruction.

In a series of nine dogs, obstructions of varying types were established, and Noble's enemas were subsequently administered. In four animals a high jejunal complete obstruction was established by severing the bowel and inverting the proximal end; the distal end was brought up and anchored to

Topics

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

Figures

Tables

References

Correspondence

CME
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.
NOTE:
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).
Submit a Comment

Multimedia

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.

Jobs
brightcove.createExperiences();