October 1970

Clinical Gastroenterology.

Author Affiliations



By Howard M Spiro, MD. Price, $35. Pp 1,011. Macmillan Co Publishers, 866 Third Ave, New York 10022, 1970.

Arch Surg. 1970;101(4):545-546. doi:10.1001/archsurg.1970.01340280097032

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The arguments over the relationship of colonic adenomas to colonic cancer generate a great deal of discussion which is agreeable but largely useless.... At present, the clinician has no way of proving that a polyp is not malignant, and therefore the polyp should be removed and the colon in which the polyp lies regarded with suspicion.

Speaking of cancer surveys: "X-rays are a poor guide into the presence of asymptomatic gastric carcinoma and serve largely to increase the number of negative studies and so reduce the level of suspicion." On diagnostic biliary drainage: "The technique sometimes seems more valuable as a tour de force than for any information it gives: but many clinicians still use it or at least talk about it."

Dealing with superior mesenteric artery syndrome (duodenal ileus): "The faithful find their patient to have visceroptosis, postprandial fullness, and epigastric pain which is relieved, appropriately enough, by a

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