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Article
March 1942

GASTROSCOPIC DIFFERENTIAL DIAGNOSIS OF BENIGN AND MALIGNANT ULCER OF THE STOMACHAN ANALYSIS OF THE GASTROSCOPIC PICTURE OF ONE HUNDRED AND THIRTY-THREE LESIONS

Author Affiliations

CHICAGO; GLENDALE, CALIF.
From the Department of Medicine, the University of Chicago.

Arch Surg. 1942;44(3):473-488. doi:10.1001/archsurg.1942.01210210077005
Abstract

Because gastroscopy is a minor procedure that can be performed in the office and is carried out with no real discomfort to the patient when the proper technic is used, the gastroscopic method has been widely accepted within the last few years. Its value in the diagnosis of chronic gastroduodenal ulcer has been discussed thoroughly and repeatedly.1 Therefore, only a brief summary of the chief facts will be given here.

Roentgen examination is superior to gastroscopy in the diagnosis of chronic gastroduodenal ulcer. The duodenal ulcer cannot be seen with the gastroscope. Benign ulcer of the pyloric ring cannot be seen with a gastroscope because the pylorus is drawn out of the visual field by adhesions. Some benign gastric ulcers of the lesser curvature of the antrum and of that small stripe of the posterior wall on which the gastroscope is lying escape detection with the gastroscopic method. Most

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