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April 19, 1924


Author Affiliations

Copenhagen, Denmark. Professor of Clinical Surgery, University of Copenhagen.

JAMA. 1924;82(16):1284-1285. doi:10.1001/jama.1924.02650420048030

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To the Editor:  —In 1912, in the Section on Surgery, I read a paper on "Gastrocoloptosis: Its Pathologic Significance and Its Surgical Treatment" (The Journal, Aug. 3, 1912, p. 334). Having described the symptoms by the "virginal" and the "maternal" types of gastrocoloptosis, I drew attention to the fact that the majority of these cases did not reach the surgeon, because medical men, confounding cause with effect, enroll them under hysteria and neurasthenia, because they consider the gastric and intestinal symptoms to be the outcome of a nervous degenerative disposition; while, in reality, all the nervous symptoms are a result of ptosis and constipation. These patients walk in vain from physician to physician, from treatment to treatment, without finding relief. Small wonder that they become more and more nervous and finally give one the impression of being, above all, neuropathic individuals.As the result of an extensive personal experience, I

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