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Article
July 13, 1912

DILATATION OF THE DUODENUM IN RELATION TO SURGERY OF THE STOMACH AND COLON

JAMA. 1912;LIX(2):117-121. doi:10.1001/jama.1912.04270070118013
Abstract

This presentation is but a preliminary report, because at the present time the material is sufficient only for a short presentation.

In my experience dilatation of the duodenum may be divided into the following three groups:

1. Dilatation associated with acute dilatation of the stomach—gastromesenteric ileus. This condition is often met with during the acute stage of. or in the convalescence from, a number of grave conditions, chiefly infections such as typhoid fever, pneumonia, acute inflammatory rheumatism. It is also a very common postoperative complication. The best treatment in this group is with the stomach-tube, but under certain conditions operative relief may become imperative. On this form of dilatation of the duodenum much has been published.1 I have nothing new to add here, except in regard to operative relief.

2. Chronic dilatation of the duodenum. In my first report2 I think I was one of the first to

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