June 1928


Author Affiliations

Professor, Physician-in-Chief, Municipal Hospital COPENHAGEN, DENMARK

Arch Intern Med (Chic). 1928;41(6):808-829. doi:10.1001/archinte.1928.00130180041002

It often happens that the clinical symptoms of a disease are not in accordance with the organic lesion actually present. This fact is conspicuous in stomach diseases. To see achylia develop without any subjective symptoms is an everyday experience. The symptoms of gastritis do not develop simultaneously with the pathologic-anatomic changes in the mucous membrane of the stomach. Even such a lesion as cancer of the stomach is frequently free from any definite symptoms for a long time. This variation of symptoms is particularly characteristic of the gastric and duodenal ulcers. In some cases one finds violent pains and fatal hemorrhages, in others there is a complete absence of symptoms, mostly periodic, but sometimes throughout the course of the disease. This behavior can be so constant that periodic latency is diagnostic in certain forms of ulcer. In such a case, however, the pathologicanatomic picture is in keeping with the symptoms,

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