THIS IS THE 12th of a series of papers published by us as the result of a detailed survey of 8,451 patients admitted to the wards of the Cook County Hospital between 1936 and 1955, who proved to have a gastroduodenal ulceration. It is the fourth of a series on the general vital statistics which possibly influence the incidence and mortality rates of complications of peptic ulcer.1-3
The term "painful ulcer" has been selected in preference to the more traditional term of "intractable ulcer" for two reasons: First, to indicate the exclusively subjective nature of this complication in comparison to perforation, hemorrhage, or obstruction. Second, there is a paucity of literature concerning the complication of "intractability;" therefore, with the use of a term intended to identify the cases requiring hospital treatment for an ulcer not primarily complicated by the other three, it is hoped more cases could be included.
KOZOLL DD, MEYER KA. Computer Analysis of 2,639 Painful Gastroduodenal UlcersGeneral Factors Influencing Incidence and Mortality. Arch Surg. 1965;91(6):983-994. doi:10.1001/archsurg.1965.01320180117025