CAJ | 학술논문

In a group of 14 dogs,7 for experiment and 7 for control, intestinal obstruction was made at the ileum 100 cm proximal to the cecum by ligating the bowel. In the experimental group the ilium was severed at the point 50 cm proximal to the obstruction and then the two stumps were sutured side by side with two rows of stitches along their mesenteric and antimesenteric borders for 5 cm long. Before the suture, a piece of seromusculature was excised from the wall of the distal stump so that the suture would involve the whole area facing the corresponding part of the proximal stump. Now, an anastomosis was performed with the conjoined stumps to be sutured to the side of the ileum 50 cm distal to the obstruction to form a spur valve in the conjoined stump which could effectively prevent intestinal contents from entering the blind loop. In the control group, a conventional sideto-side anastomosis was made at the place 50 cm away from the obstruction both proximally and distally.One of the experimental dogs and 3 of the controls died shortly after the operation. The survivors were re-explored 8 weeks later, which showed that blind loop dilatation was found only in one experimental dog but it was found in all the 4 survived controls accompanied by diarrhea, weight loss and lower serum albumin.