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Studies of the absorption and equilibration of water from the gastrointestinal tract following injury



Studies of the absorption and equilibration of water from the gastrointestinal tract following injury



Surg Gynecol And Obstet 100(1): 69-77



The healthy unwounded soldier absorbs water (deuterium oxide) rapidly from the gastrointestinal tract. Gastrointestinal absorption of deuterium is slightly retarded after injury to the chest, extremities, or after burns. Following intra-abdominal injuries, absorption of deuterium oxide from the gastrointestinal tract is markedly retarded for several days. These studies suggest that, in the compromises which may be necessary in the treatment of mass casualties, water may be given orally at any time following injury provided there is no intraabdominal injury, anesthesia is not anticipated for the immediate future, and the casualty is not comatose. Even under conditions in which mass casualties must be treated, oral fluid therapy to the casualty with major abdominal injuries should be avoided during the first few days following surgery. The response of the gastrointestinal tract to trauma, like the response of every other system and organ in the body, is a response of tremendous magnitude for a long period of time.

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Accession: 025546600

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PMID: 13238153


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