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Article
October 21, 1905

CHRONIC ULCER OF THE STOMACH AND FIRST PORTION OF THE DUODENUM, WITH ESPECIAL REFERENCE TO THE SURGICAL TREATMENT.

Author Affiliations

Surgeon to St. Mary's Hospital. ROCHESTER, MINN.

JAMA. 1905;XLV(17):1211-1216. doi:10.1001/jama.1905.52510170001001
Abstract

Chronic ulcer of the stomach is certainly a more frequent disease than clinicians would lead us to believe. Compare for a moment the results of autopsy findings with the clinical diagnosis on hospital admission. Take three hospitals in Philadelphia—Blockley Hospital, giving 1.42 per cent. as the result of autopsy finding; University Hospital, clinical findings 0.48 per cent.; Pennsylvania Hospital, clinical findings 0.13 per cent. (Francine). In other words, in two hospitals of exactly the same character in the same city, ulcer is found clinically nearly four times as often as in the other, while both fall short of the postmortem from 3 to 11 times. Bettman finds that a diagnosis of gastric ulcer was made but 24 times in 27,567 Cincinnati hospital admissions (.08 per cent.) Howard, in comparative tables, shows that New York City autopsy records give 1.42 per cent. of gastric ulcers, while the records of clinical admissions

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