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December 8, 1900


Author Affiliations

Professor Pathology, Medical Department University of Illinois, Milwaukee Medical College, etc. CHICAGO.

JAMA. 1900;XXXV(23):1459-1461. doi:10.1001/jama.1900.24620490017001e

The title of this paper is misleading, in that it gives the idea that healing in the intestine is to be fully considered. I shall discuss the question of stricture following anastomosis, and especially end-to-end anastomosis. The other points in the healing process will be treated very cursorily.

The position which the paper advocates is that the danger from secondary stricture due to development of scar tissue in the submucosa and muscular tunics is very slight. This should be removed from the list of objections to operative procedures. I have been led to this opinion by two sets of observations. I have been confirmed in it by a tone that I find in the literature—illy defined, but present.

The first observation is this: For ten years the profession has been doing anastomosis with great frequency. There has been time enough for the literature to teem with reports of secondary stricture.