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Article
November 11, 1911

THE TREATMENT OF CERTAIN OBSTRUCTIVE BENDS OF THE INTESTINES DUE TO ABNORMAL MESENTERIC ATTACHMENTS AND INADEQUATE PARIETAL SUPPORT

JAMA. 1911;LVII(20):1586-1591. doi:10.1001/jama.1911.04260110086003
Abstract

There are four important portions of the intestinal tract that suffer notable distortion and lead to pathologic results due to an anomalous condition of the mesenteric attachments and inadequate support of the abdominal parietes, viz., the duodenum, the terminal portion of the ileum, the appendix vermiformis and the sigmoid.

The distortion usually occurs as a result of the two principal causes named, but may occur in a less aggravated form with only one of the two causes acting. In a recent paper I dwelt on these causes as they especially affected the terminal portion of the ileum, and the facts given there as an explanation of the distortion occurring at that portion of the intestinal tract apply in principle to the other regions enumerated. In this paper I wish to note briefly a line of postoperative treatment which I consider rational and which has been successfully pursued in a number

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