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To the Editor:—
At the risk of unduly prolonging the argument on what is meant by a complete gastrointestinal examination: Dr. Gregory Connell in his letter published February 22 raises a perfectly good point—that the gastrointestinal tract is an entity and should be examined as such. My letter published January 18 does not imply the espousal of incomplete examinations. However, the complete gastrointestinal examination takes time and money to do, and my complaint was directed at the physician whose conception of a "g-i" is an examination of the stomach only, who has told the patient it will involve only a short time and who has probably prepared the patient for a fee which would not pay for the cost of the films alone if a proper examination of the complete tract is to be done. Under the setup that governs our practice, all discussion aside as to the merits of
Spillman R. THE GASTROINTESTINAL EXAMINATION. JAMA. 1941;116(16):1867. doi:10.1001/jama.1941.02820160119019