Newer postoperative trends

Daughtry, DeWitt C.

doi:10.1016/0002-9610(45)90186-3

The American Journal of Surgery

1945

DOI: 10.1016/0002-9610(45)90186-3

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Newer postoperative trends

DeWitt C. Daughtry

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1968

1993

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Cited by 3 publications

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“…Theconceptthat allabdominalandrenalprocedures are followed by an obligatory period of ileus was strongly supported by Paine (1940) and Daughtry (1945).…”

mentioning

confidence: 87%

Postoperative intestinal motility an experimental study on dogs

Baker

Webster

1968

Journal of British Surgery

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MAYleft-sided predominance of iliofemoral venous thrombosis and of post-thrombotic stricture formation. SUlMlMARYThe gross anatomy of the inferior vena caval bifurcation has been studied by dissection, corrosion cast preparation, and phlebography.Results have shown that :-I . T h e right common iliac artery crossed the junction of the left and right common iliac veins in 73 of 93 dissections.2. Compression of the left common iliac vein where it is crossed by the right common iliac artery was present in 29 of 54 phlebograms and in 8 of 9 corrosion casts, but in 5 of the latter there was no diminution in cross-sectional area.3. Bands within the lumen of the left common iliac vein were present in 14 of IOO dissections, in 2 of 9 casts, and in 8 of 55 phlebograms.4. There is no evidence that bands are the result of thrombosis, but their aetiology remains in doubt. 5. Symptoms rarely, if ever, result from the presence of left common iliac compression or bands, but these may influence the localization of iliofemoral venous thrombosis and of post-thrombotic stricture formation.

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“…Theconceptthat allabdominalandrenalprocedures are followed by an obligatory period of ileus was strongly supported by Paine (1940) and Daughtry (1945).…”

mentioning

confidence: 87%

Postoperative intestinal motility an experimental study on dogs

Baker

Webster

1968

Journal of British Surgery

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Effect of abdominal surgery on intestinal myoelectric activity in the dog

Carmichael¹,

Weisbrodt²,

Copeland³

1977

The American Journal of Surgery

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Reprise de l'activité électrique gastroduodénojéjunale après cholécystectomie. Étudein situchez l'homme

Lemaire

Riezzo

Pezzolla

et al. 1993

Archives Internationales de Physiologie, de Biochimie et de Bio

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The recovery of gastrointestinal electrical activity--migrating myoelectrical complex (MMC) and slow waves--was studied in six women (50-77 years) after cholecystectomy for gallstones: serosal electrodes in pairs are implanted in the wall of the antrum, duodenum and jejunum during surgery. Five hour recordings were made on the first, third and fourth postoperative days (pOD), in starvation condition with hydric intake only. The recordings were made after a twelve hour fast. On the fourth postoperative day, a test meal (250 g yogurt) was given to the patients and its effects on electrical activity were recorded for 2 hours. Even though MMC were present on the first and third postoperative days, a detailed study of their origin, the length of the phase 3 and the speed of gastro-jejunal propagation showed an inhibition of gastric MMC until the fourth pOD, moreover that intestinal MMC was slower than normal until the third pOD. On the fourth postoperative day, gastric inhibition disappeared since the length of the phase 3 of the MMC in the gastric level corresponded to those of the duodenum and jejunum. Furthermore the speed of propagation corresponded to that in normal subjects. Further, the slow wave frequency peculiar to each segment studied increased progressively from the first to the fourth pOD just like the slow waves with action potentials. In conclusion, notwithstanding the presence of MMC from the first postoperative day, it was only on the fourth day that normal coordination was restored and hence that patients were able to eat again.

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Newer postoperative trends

Cited by 3 publications

References 9 publications

Postoperative intestinal motility an experimental study on dogs

Postoperative intestinal motility an experimental study on dogs

Effect of abdominal surgery on intestinal myoelectric activity in the dog

Reprise de l'activité électrique gastroduodénojéjunale après cholécystectomie. Étudein situchez l'homme

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