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August 13, 1898


Author Affiliations


JAMA. 1898;XXXI(7):326-328. doi:10.1001/jama.1898.92450070004001a

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Since Lembert, about 1825, asserted that the union of serous surfaces was to be aimed at in intestinal anastomosis, many methods of suturing have been introduced and many mechanical substances used to facilitate the suturing, but no appliance has yet been invented in the use of which the union should not be fortified by suture. This being true, if device is to be used, it should possess the following qualifications: 1, it should be rigid so as to hold the parts firmly in apposition; 2, it should, as soon as its function is performed, as soon as the suturing is done, pass quickly away to leave the lumen of the gut free; 3, it should be easy of introduction.

In gastrectomies upon dogs I found it difficult to make a satisfactory union between the intestine and esophagus. This led me to experiment with various appliances

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