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October 9, 1886


JAMA. 1886;VII(15):393-399. doi:10.1001/jama.1886.04250100029001

In considering the functions of the different portions of the alimentary tube, and their liability to derangements, none seems of more importance than the ileo-cæcal division of the small and the large intestines. Apart from the intimate connections of the duodenum with neighboring organs, there is no part of this highly vitalized conduit, from the stomach to the rectum, whose physiological operation is so essential to health and whose pathological conditions are so hurtful, as this valvular mechanism. A complete separation of the nutritious and excrementitious processes is effected by this somewhat complicated apparatus; and an entire transformation in the contents of the alimentary canal ensues after passing through this peculiar connection of the small and large intestines.

A brief outline of the relations of these organs, given by Weisse and by Ziegler, may prove satisfactory for a proper comprehension of the various affections, involving the ileo-cæcal connections, which require

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