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JAMA. 1897;XXIX(6):266-268. doi:10.1001/jama.1897.02440320010001d.
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The President of our Association, Dr. Nicholas Senn, was the first in this country to direct the attention of the profession to the importance of surgical interference in cases of stenosis of the pylorus. In 1891 Senn published in the Medical Record (November 7 and 14) fifteen cases of pyloric stenosis, two of a benignant type and thirteen due to malignant disease (cancer), on which he had operated. In the two cases of benignant stricture the operation consisted in Heinecke-Mikulicz pyloroplasty. In the remaining thirteen, of cancer of the pylorus, gastro-enterostomy was established. In this paper Senn said: "Stricture of the pylorus is a surgical affection and should be treated as such with the same right and for the same reasons as a stricture of the esophagus, rectum or urethra. Reliance on medicine is as deceptive and useless in these cases as in the treatment of stricture of any other


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