Mechanics of Simple Intestinal Obstruction

Sperling, Louis

doi:10.1001/archsurg.1938.01190230057005

Cited by 19 publications

(4 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although Code et al (1957) observed that type III/IV activity occurred frequently in two patients with ileostomies, their method-using large water-filled balloons-may have induced obstruction. It is well documented that small bowel obstruction results in the appearance of vigorous peristaltic activity (Sperling, 1938). Clinically inapparent but functionally important obstruction in the region of the distal conduit due to narrowing or kinking is the most likely explanation for our findings.…”

Section: Discussionsupporting

confidence: 62%

The Role of the Ileal Conduit in the Development of Upper Tract Dilatation

Neal

Hawkins

Gallaugher

et al. 1985

British Journal of Urology

View full text Add to dashboard Cite

The purpose of this study was to clarify the role of the conduit in the development of upper tract dilatation after ileal conduit urinary diversion. Twenty-seven patients with a normal upper tract were compared with 17 who had developed upper tract dilatation. Patients were studied by means of a technique to measure pressure and flow under "steady-state" conditions. Pressure activity was classified into two types. Type I pressure activity (frequency 6.2 +/- 3/min; amplitude 4.7 +/- 3 cm H2O) resulted in to-and-fro movement of contrast and the escape into the appliance of small volumes of contrast. In controls, most of the output from the conduit occurred during type I activity (73 +/- 14%). Type III/IV pressure activity resulted in vigorous aboral peristalsis and occurred infrequently in controls (frequency 5 +/- 4/h). In patients with upper tract dilatation, in contrast, type III/IV peristaltic activity occurred frequently (frequency 37 +/- 30/h; P less than 0.001: amplitude 72 +/- 34 cm H2O) and was responsible for most of the output (70 +/- 17%; P less than 0.001). The findings support the hypothesis that high pressure activity in the conduit is an important factor in the aetiology of upper tract dilatation, and they are compatible with the presence in such patients of functionally important obstructions of the distal conduit.

show abstract

Section: Discussionsupporting

confidence: 62%

The Role of the Ileal Conduit in the Development of Upper Tract Dilatation

Neal

Hawkins

Gallaugher

et al. 1985

British Journal of Urology

View full text Add to dashboard Cite

show abstract

“…It is unlikely that all parts of the bowel recover simultaneously from paralytic ileus, and if peristalsis return to the small intestine first, the intraluminal pressure in the distended cecum, if the ileocecal valve is competent, will increase significantly. In experimental studies, Sperling (7) demonstrated that a pressure of 10-50 cm H20 in an isolated bowel loop for 1-2 days is sufficient to cause necrosis of the bowel wall. It has been demonstrated clinically and experimentally that the entire colon dilates progressively and the cecum invariably ruptures first (8).…”

Section: Discussionmentioning

confidence: 99%

Non‐Obstructive Cecal Dilatation and Perforation after Cesarean Section

Sperling

Schantz

Toftager-Larsen

et al. 1990

Acta Obstet Gynecol Scand

View full text Add to dashboard Cite

A case of non-obstructive cecal dilatation and perforation after cesarean section is reported, with a review of the literature on the diagnosis and management of this entity. Fifteen cases have been described. Attention is called to this rare complication and to the accompanying pseudo-obstructive syndrome, the diagnosis of which is important in order to avoid cecal perforation. Non-obstructive cecal dilatation is a life threatening complication to cesarean section, and immediate surgical intervention is important.

show abstract

“…The longer the distension is permitted to occur, the greater the risk of perforation. Sperling (1938), experimenting on dogs, showed the effect of sustained and increased enteric pressure. At a pressure of 10 cm.…”

Section: Discussionmentioning

confidence: 99%

Idiopathic large-bowel obstruction

1963

Journal of British Surgery

View full text Add to dashboard Cite

Mechanics of Simple Intestinal Obstruction

Cited by 19 publications

References 26 publications

The Role of the Ileal Conduit in the Development of Upper Tract Dilatation

The Role of the Ileal Conduit in the Development of Upper Tract Dilatation

Non‐Obstructive Cecal Dilatation and Perforation after Cesarean Section

Idiopathic large-bowel obstruction

Contact Info

Product

Resources

About