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Surgery of the alimentary tract is a modern development. Its span is not more than a half century and many of the more recent procedures have not received proper evaluation. The inherent difficulty in the diagnosis of gastrointestinal lesions is reflected by a similar difficulty in assessing the surgical treatment. As the author states, the ability to evaluate the symptoms and signs presented by the patient is a full responsibility of every surgeon professing to treat gastrointestinal diseases. Further, a study of the history of alimentary tract diseases reveals that the greatest contributions to their diagnosis and correlation with pathologic changes must be credited to the science of surgery. It is proper, therefore, for any comprehensive surgical work to include discussion of what is ordinarily considered "medical" gastro-enterology.
In light of this the author begins with a discussion of the dyspepsias. One who has had as much experience as Devine
The Surgery of the Alimentary Tract. JAMA. 1941;116(3):261. doi:10.1001/jama.1941.02820030083035
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