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September 12, 1966

Surgical Management of Curling's Ulcer in Children

Author Affiliations

From the pediatric surgical (Dr. Shaw) and plastic surgical (Dr. Symonds) divisions, surgical (Dr. Wardlaw) and pediatric (Dr. Bush) services, Harlem Hospital Center, New York, and Columbia University College of Physicians and Surgeons, New York (Drs. Symonds and Shaw).

JAMA. 1966;197(11):922-923. doi:10.1001/jama.1966.03110110146042

SURGICAL correction of complications arising from Curling's ulcer in children has rarely been reported. We have been able to find only six acceptable reports of surgery in such cases. The earliest was Regenbrecht's1 description in 1959 of closure of a perforated gastric ulcer 18 days following extensive body burns. The child died of bronchopneumonia on the 18th postoperative day. In 1960, Lasserre et al2 reported a case of a 6 1/2-year-old girl who underwent partial duodenal resection and gastrojejunostomy for a bleeding Curling's ulcer located in the duodenum. The child lived and is believed to be the first survival documented in the literature. The second survival was reported by Leix and Greaney in 1963.3 Their patient was a 2-year-old girl who underwent surgery for hemorrhage and perforation. The third survival was presented by Abramson4 in 1964. He described a 10-year-old boy with extensive burns who underwent