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September 17, 1904


Author Affiliations

Professor Principles of Surgery and Clinical Surgery, Medico Chirurgical College; Professor Surgery and Clinical Surgery, Woman's Medical College of Pennsylvania. PHILADELPHIA.

JAMA. 1904;XLIII(12):801-805. doi:10.1001/jama.1904.92500120002k

Rash, indeed, would be the surgeon who advocated operation in ail cases of gastric ulcer; but more rash would be he wx.o practiced excision of the ulcer-bearing area in all cases operated on. I wish it distinctly understood that it is only in certain well-selected cases that the proposed operation has, or may ever have, an accepted place in surgery. We are all agreed that 25 or 50 per cent. of the cases of ulcer of the stomach may be cured by medical means. These will usually be the cases of acute round ulcer found in females under the age of 30. They are also frequently found in connection with chlorosis, and it has been found that, as a general rule, they heal under medicinal treatment. It has also been learned that the chronic ulcers, usually found in males past the age of 40, are the ones which interfere seriously

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