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To the Editor:—
May I supplement by one item the excellent paper of Dr. Alvarez on "What Causes Flatulence?" which appears in the September 5 issue.The French have a saying "Les vents précède la pluie" (Winds precede the rain). French clinicians have taken that over into the clinical pathology of hepatic cirrhosis by saying that flatulence precedes ascites in many a case of cirrhosis of the liver with portal obstruction and consequent congestion of the intestinal wall. Many physicians will corroborate this observation. We should add hepatic cirrhosis to the list of flatugenerators.
Mannheimer G. FLATULENCE. JAMA. 1942;120(7):553. doi:10.1001/jama.1942.02830420061024