Abstract
CONTENTS Review of literature Anatomic structure of the ileocecal sphincter Nerve supply Competency of the sphincter Experimental work Study of competency of the ileocecal sphincter in cadavers Tests of competency of the ileocecal sphincter in dogs Tests of competency of the ileocecal sphincter in man by insufflation of air under low pressure and by the administration of barium enemas Significance of the competence of the ileocecal sphincter in colonic obstructions Reports of cases Effect of increased intra-enteric pressure on the wall of the bowel Experimental work Measurement of the intra-enteric pressure in cases of obstruction of the large bowel Measurements of intra-enteric pressure in clinical cases of obstruction of the large bowel (table) Comment Conclusions Bibliography It has been known for a long time that distention of the small bowel is rarely observed in cases of obstruction of the colon. The older German writers, Kreuter, Anschütz and others, have explained

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