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March 1929

The Duodenum: Medical, Radiologic and Surgical Studies.

Arch Intern Med (Chic). 1929;43(3):427-428. doi:10.1001/archinte.1929.00130260130016

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The first half of this monograph is devoted to a discussion of the etiology, symptoms, diagnosis and treatment of periduodenitis. Beginning with cases of disease of the gallbladder in which the duodenum is involved by contiguity, the authors proceed to differentiate the symptoms due to disease of the gallbladder per se and those due to periduodenitis per se. The evidence submitted is entirely inadequate to justify the conclusions drawn. The same criticism applies to the chapter on essential and stenosing periduodenitis. Taken as a whole, facts submitted, including those of serial roentgenograms and operative controls, do not justify the attitude taken.

The chapter on chronic compression of the third portion of the duodenum seems a little more reasonable. Here, too, the authors seem unable to keep their enthusiasm under control. It is difficult for one who is unversed in "right-sided constipation and cecocolonic stercoral stasis" to conceive of a colonic

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