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February 22, 1941


Author Affiliations

Oshkosh, Wis.

JAMA. 1941;116(8):779. doi:10.1001/jama.1941.02820080119026

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To the Editor:—  In the communication by Dr. Ramsay Spillman in The Journal, January 18, referring to the first two paragraphs concerning "A complete g-i examination," I am prompted to ask Why an incomplete g-i examination? Failure to follow a barium sulfate meal through the entire gastrointestinal tract has always seemed a deplorable waste of valuable clinical material. A complete study may prevent mistakes or reveal coincidental disease. In cases of suspected disease of the lower portion of the bowel mistakes will be reduced if both barium meal and enema are observed.The gastrointestinal tract is, and should be considered as, a physiologic unit. Failure to detect a pathologic condition in this tract (with history and symptoms justifying a gastrointestinal roentgen examination) calls for a cholecystogram.Complete gastrointestinal roentgen examinations will be less frequently misinterpreted if test meal and stool examinations are routine preliminaries.These remarks do not pertain to

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