﻿460 ^^6 Philippine Journal of Science 



SUMMARY AND CONCLUSIONS 



In a series of 1,000 consecutive autopsies in Manila, performed 

 during eighteen months, aside from the incidence of intestinal 

 parasites and tumors and the lesions in bubonic plague, intestinal 

 lesions have been encountered in 292 cases. In this series Asi- 

 atic cholera (on account of an epidemic occurring during this 

 period) stood first numerically. Second in importance was in- 

 testinal tuberculosis, and attention has been drawn to the possibi- 

 lity of the occurrence of dysenteric symptoms in this condition 

 and to the perforation of intestinal ulcers in three cases. Ty- 

 phoid fever was present more frequently than either entamoebic 

 or bacillary colitis, and these typhoid cases showed a high per- 

 centage of perforations (30 per. cent) and haemorrhages (12 

 per cent), all of the cases being among Orientals. Entamoebic 

 and bacillary colitis have been encountered with less frequency 

 than the preceding diseases, and have presented many of the 

 possible complications and sequelae. Liver abscesses occurred 

 in 29 per cent of the entamoebic cases, and in 2 cases the in- 

 testines had perforated. Bacillary colitis was present more fre- 

 quently in children than in adults. Nine cases of duodenal 

 ulcers were encountered, 6 of which had perforated, and 15 

 cases of peptic ulcer of the stomach occurred in the same series. 

 Severe anaemia and symptoms referable to the gall bladder were 

 prominent in some of the cases of duodenal ulcer. Unclassified, 

 probably nonspecific inflammatory lesions of the intestines, es- 

 pecially in infants, occupy an important place, and offer a prom- 

 ising field for further etiological study. 



