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Article
May 1945

GASTROENTEROLOGYA REVIEW OF THE LITERATURE FROM JULY 1943 TO JUNE 1944

Arch Intern Med (Chic). 1945;75(5):341-356. doi:10.1001/archinte.1945.00210290064005
Abstract

DUODENUM 

Diverticula.  —Warren and Emery237 review the literature on duodenal diverticula and report a study of 103 cases. No typical symptomatology was found. Diverticula in the first portion of the duodenum are usually of the false type, pockets associated in most instances with duodenal ulcer; those in the second portion are usually a true herniation of the mucosa through the muscular wall, a fair number of these containing inclusions of pancreatic tissue. In 4 of the cases there was evidence of inflammation within the sac. In a fifth case the diverticulum was surrounded by a phlegmonous inflammation; the patient died of a purulent meningitis, hepatitis and endocarditis, but the pathologist was unable to determine the relationship between these infections and the diverticulum. Pearse discusses238 the indications for operation and describes a technic for the removal of peri-Vaterian diverticula.

Obstruction.  —Morlock and Gray239 report

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