JAMA. 1923;81(16):1357-1361. doi:10.1001/jama.1923.02650160031010.
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In reviewing the subject of rectal stricture, one is forcibly impressed with the fact that most of the discussion and study of the subject is devoted to the etiology, a phase concerning which the least satisfactory and uniform conclusions have been drawn. All writers agree that rectal strictures come under two chief headings, malignant and benign; but when the latter type is considered, the significance of syphilis as a cause invariably becomes the leading point on which opinions vary widely. Often the relative frequency has been expressed on a percentage basis, but the estimates are so varied that even an average of them would be of little worth. Certain observers assert that syphilis is the cause of few, if any, rectal strictures; but the greater number attribute to syphilis the existence of most lesions of this type. Asman1 has said: "The vast majority of strictures of the rectum are


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