Scarcity of literature on a medical or surgical subject has, as a rule, one of two meanings: either that the condition is extremely rare, or that the subject has certain unpleasant features connected with it that lead to a perhaps unconscious desire to forget it on the part of the one to whom experience has come. Just how frequently a fistula of the duodenum occurs after suture of a perforation or other operative procedure is difficult to estimate, as there are no reliable statistics available, and such complications are apt to remain unrecorded. Experience gained during apprenticeship, from association and hearsay, and in two personal cases, forces me to conclude that fistulas of the duodenum following operative procedures are neither the rare nor the simple, benign affairs the silence of the professional pen might lead one to conclude. Reference to this subject has almost invariably a pessimistic tone, and but
PALMER DW. DUODENAL FISTULAS. JAMA. 1918;70(9):595–596. doi:https://doi.org/10.1001/jama.1918.02600090015008
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