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August 1915


Author Affiliations

Attending Pediatrist, Sydenham Hospital NEW YORK

Am J Dis Child. 1915;X(2):87-89. doi:10.1001/archpedi.1915.04110020012002

During the last ten or fifteen years, in which hypertrophic pyloric stenosis and pylorospasm in infants have been the objects of absorbing interest, the prevailing tendency has been to draw well-defined clinical pictures of these two affections, and to distinguish them sharply from normal conditions, as well as from each other. With regard to the latter distinction, the chief object has been to define the operative indication; we have now come to understand that this end is not always attainable, and that difficult borderline cases form a large proportion of the total. As a matter of fact, the absence of any sharp dividing line was more than suspected ten years ago by Ibrahim,1 and has recently been reaffirmed by Holt.2 Careful study of the best contributions to the subject conveys the impression that this attitude of uncertainty pervades most of the literature; only the surgeons, possessed of a

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