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September 1, 1900


Author Affiliations

Attending Surgeon to St. Peter's Hospital. BROOKLYN.

JAMA. 1900;XXXV(9):551-553. doi:10.1001/jama.1900.24620350021001g

There exists an intimate relation between diabetes and surgery, principally due to the fact that diabetics are prone to gangrene, and this intimacy, in my opinion, is rendered especially dangerous from the fact that its existence is too often carelessly dealt with, and a great many men have failed to appreciate its importance until they have seen a gangrene follow an operation in which there was apparently nothing present to result in any such course, and it certainly seems to me that insufficient importance is attached to this subject. So far as I have been able to learn, not very much has been written and the standard text-books say but very little. Erichsen makes no reference to diabetic gangrene; I quote the following from "The American Text-book of Surgery," and it is practically all it says: "Individuals suffering from diabetes are frequently attacked with gangrene. Operations on these patients are

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