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The author's plan of presentation in this book is indeed unique. Presumably he has been asked by a young doctor for his advice and experience relative to the more common anorectal diseases. Savignac's background is a twenty year period of service as director of the proctologic clinic of the Salpêtrière. He makes his contributions to the "young practitioner" in the form of a series of letters, fourteen in all, each one covering a specific subject. The work serves admirably first to make the practitioner conscious of anorectal disease and then to instruct him in the performance of a thorough examination, both digital and endoscopic. The author considers his patient to have a serious ailment until such has been ruled out by thorough investigation. He has placed proper emphasis on the serious nature of chronic ulcerative colitis and of inflammatory rectal stricture. With regard to the etiology of the latter entity
Lettres à un jeune praticien sur les maladies de l'anus et du rectum. JAMA. 1938;110(26):2175. doi:10.1001/jama.1938.02790260049026