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Article
June 1953

PERFORATIONS OF GASTRODUODENAL ULCERSAnalysis of Two Hundred Two Cases

Author Affiliations

SAN FRANCISCO
From the Stanford University Surgical Service, of the San Francisco Hospital, Department of Public Health.

AMA Arch Surg. 1953;66(6):810-817. doi:10.1001/archsurg.1953.01260030830012
Abstract

DURING the past 10-year period, from June 1, 1942, to May 31, 1952, 202 patients with proved perforated peptic ulcers were admitted to the Stanford surgical service of the San Francisco Hospital. The experience with these patients is presented with the purpose of evaluating the factors in diagnosis and treatment, as well as the present morbidity and mortality rates of patients operated on and those not operated on. All patients with a diagnosis of perforated peptic ulcer, substantiated either by surgery, by autopsy, or by unequivocal x-ray evidence of peptic ulcer, are included in this study. All hospital deaths are included in the mortality figures. Several of the deaths seemed to be unrelated to the perforated ulcer or its complications.

Butler1 gave the last statistical report on perforated peptic ulcers from this hospital in 1934. The mortality rate in 106 cases was 24.5%, being unusually high in the gastric

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