26 Dr Barclay- Smith, Extreme Visceral Dislocation. 



a lumen so small as to practically forbid the entry of intestinal 

 contents ; further, its position has been shifted to such an extent 

 as to occupy what may be regarded under the circumstances as an 

 ideal situation, where it may feel the distending effect of the 

 anti-peristaltic wave combined with gravity to the least extent 

 possible. 



The adenoid tissue in the intestinal wall has often been 

 regarded as something vicious, something which is largely respon- 

 sible for the many intestinal troubles to which man is a victim. 

 This idea, I am certain, will be found to be absolutely erroneous. 

 The adenoid accumulations in the intestinal wall are probably of 

 the greatest protective value, and the special accumulation which 

 is such a remarkable feature of the appendix vermiformis must be 

 regarded simply as one of self-defence. 



The fact that, when once the defensive energy of the adenoid 

 tissue is strained to the breaking point either from an irresistible 

 onslaught or from the weakening of its vital resistance, these 

 accumulations prove weak spots in the armour of the first line of 

 the body defence, does not invalidate the argument as to their 

 essentially protective nature. 



