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January 22, 1916

the Roentgen Diagnosis of Surgical Lesions of the Gastro-Intestinal Tract.

JAMA. 1916;LXVI(4):300. doi:10.1001/jama.1916.02580300068036

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Too much prominence is given to the serial plate method. The fluoroscope can safely eliminate many unnecessary costly plates, and at times reveal facts that are not possible by the other method. Besides the great value of palpation with the fluoroscopic screen, the visualization of moving organs is frequently of diagnostic importance. The entire clinical story and laboratory findings are omitted from the text, and the diagnosis is based on the Roentgen findings alone. This is undoubtedly possible in many cases, as the plates shown are definite and clear. What, however, of the many cases which the authors have failed to recognize because of lack of Roentgen evidence? There are many diseases of the gastrointestinal tract that cannot be discovered by the Roentgen ray alone. The clinical and laboratory findings deserve, at least, equal prominence in the final diagnosis. The text is clear and concise. The illustrations are copies of

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