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December 28, 1907


JAMA. 1907;XLIX(26):2157-2158. doi:10.1001/jama.1907.02530260029009

Considering the frequency with which tuberculosis of the intestines occurs it is reasonable to suppose that the stomach is exposed to this infection frequently, in spite of the fact that gastric tuberculosis is so rarely encountered. The factors which are responsible for this partial immunity are, according to Barchasch2 the acidity of the gastric contents, the scarcity of lymphatic follicles in the stomach walls and the motility of the stomach, which insures a comparatively short exposure to infection. Consequently, motor insufficiency and chronic gastric catarrh, particularly gastritis granulosa, in which there is an increase in the lymphoid follicles, are among the most important predisposing factors to the establishment of a tuberculous process. Although gastric involvement is usually secondary to pulmonary disease, as a result of the constant swallowing of infected sputum, a number of cases of primary gastric tuberculosis have been reported. Barchasch describes five anatomic varieties of tuberculosis

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