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Observations on the Treatment of Gastric Ulcer
Professor Morawitz, a clinician of Leipzig whose views always receive careful attention, discussed recently, before the Leipziger Medizinische Gesellschaft, certain new observations on the treatment of gastric ulcer. The hourly meals, in accordance with the Sippy method, are recognized as effective. It cannot be regarded as proved that long continued administration of alkalis, if the quantities are not exaggerated, is injurious. On account of the analgesic effects of alkalis, their use in general practice will be retained. However, Morawitz warns against the heavy doses of sodium bicarbonate such as were administered in the original Sippy treatment (up to 32 Gm. of sodium bicarbonate in twenty-four hours), as symptoms of alkalosis have been observed. Atropine is likewise an effective remedy in the treatment of ulcer and should perhaps be used more than it has been; the dose must be determined in each individual case,
BERLIN. JAMA. 1931;96(18):1521-1522. doi:10.1001/jama.1931.02720440069021