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Article
June 10, 1911

THE POSSIBLE DIAGNOSIS AND A TECHNIC IN EXCISION OF A CHRONIC INDURATED ULCER OF THE POSTERIOR WALL OF THE STOMACH

Author Affiliations

Fellow American Surgical Association; Member Western Surgical Association; Surgeon to the Clarkson Memorial, Wise Memorial and Douglas County Hospitals OMAHA, NEB.

JAMA. 1911;LVI(23):1699-1700. doi:10.1001/jama.1911.02560230001001
Abstract

The technic of operations on the stomach for ulcer, curiously enough, followed that for cancer, and the radical operation for ulcer situated near the pylorus is practically identical with that for cancer. To-day we are in many instances operating on ulcer not only to relieve the symptoms for which it is directly responsible, but to prevent cancer development on the ulcer base. The physician, more particularly the stomach specialist, hardly has a fair chance to study the relationship between ulcer and early cancer; for such knowledge we must go to the surgeon who, having a large experience in stomach surgery, excises, whenever possible, all chronic calloused ulcers and submits each specimen to the examination of an expert pathologist. In the Mayo clinic 71 per cent, of excised cancers of the stomach were found to have developed on an ulcer base, and doubtless many excised chronic calloused ulcers, if carefully

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