February 20, 1960


Author Affiliations

St. Joseph Mercy Hospital Pontiac, Mich.

JAMA. 1960;172(8):852. doi:10.1001/jama.1960.03020080082025

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To the Editor:—  I am writing with regard to the comment, entitled "Peptic Ulcers in Children," which appeared in The Journal, Dec. 5,1959, page 1990. Dr. Tudor states that he is "establishing a registry of children who have peptic ulcers" and requests "anyone who knows of child patients with peptic ulcer, diagnosed either post mortem or roentgenographically," to send him the pertinent data. I wonder if Dr. Tudor is aware how equivocal a roentgenographic diagnosis of peptic ulcer in children is. If he would consult radiologists at any outstanding children's hospital in the country, he would discover that the roentgenographic diagnosis of peptic ulcer in children is extremely rare, frequent diagnosis by less experienced examiners not-withstanding.Among radiologists familiar with pediatric gastroenterology, such findings as spasm, hypersecretion, and prominent rugae, which are often used to establish the diagnosis, are considered normal in children. It is doubtful whether the establishment of

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