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ADHESIONS AND CONSTRICTIONS OF THE BOWEL: THEIR DEMONSTRATION AND CLINICAL SIGNIFICANCE

G. E. PFAHLER, M.D.
JAMA. 1912;LIX(20):1770-1775. doi:10.1001/jama.1912.04270110184004.
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The importance of adhesions and constrictions of the bowel is being emphasized by the large number of writers on this subject. Throughout the medical world surgeons, roentgenologists and internists are realizing that many of the obscure abdominal symptoms, usually of a chronic nature, may be explained by the recognition and demonstration of adhesions or constrictions of the bowel.

Judged by the frequency with which Virchow found these adhesions, one must conclude that they are present often without producing symptoms, but that when symptoms are present and no satisfactory cause can be found, the possibility of adhesions or constrictions of the bowel must be carefully investigated.

The frequency of the adhesions has been further emphasized by the recent investigation of Mollison and Cameron11 in fifty consecutive autopsies at Guy's Hospital, the age of the subjects varying from 3 weeks to 68 years, cases of generalized peritonitis being excluded from the

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