A number of articles have appeared in recent years emphasizing the clinical significance of adhesions in the upper right quadrant.
Recently the French authors, Duval, Roux and Béclère, exhaustively treated the subject of adhesions in this area in a book, "The Duodenum," in which they described anatomic, clinical and roentgen findings. They suggested operations for severance of adhesions and short-circuiting of obstructed points.
Our study arose from an attempt to apply clinically the recorded data on this subject. If the clinical and anatomic entity is as definite as has been described, it was felt that careful study of a rather large gastro-intestinal material should reveal a number of such cases.
We are concerned here with adhesions about the first and second portions of the duodenum and about the gallbladder, and their clinical significance. Lesions of the third and fourth portions of the duodenum and duodenal stasis in these portions are