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Correspondence
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Volume 330:1159 April 21, 1994 Number 16
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Polyp of the Appendix

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 by Sticca, R. P.
To the Editor: The case of a polyp of the appendix described by Sticca and Palmer in the Images in Clinical Medicine section (Dec. 2 issue)1 reflects what is terribly wrong with American medicine today. First of all, most would agree that persistently guaiac-positive stools should be evaluated colonoscopically, not radiographically, since such an examination would detect angiodysplasias and allow therapeutic maneuvers such as polypectomy. Furthermore, the authors state that the tiny appendiceal polyp was probably not the cause of bleeding. Why, therefore, was the patient subjected to a laparoscopic appendectomy? Finally, diverticulitis is generally not an asymptomatic condition and . . . [Full Text of this Article]

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