The internist and the surgeon are still far apart in their estimation of the necessity for the surgical treatment of peptic ulcer and of the value of such treatment, but the lines of divergence are converging. They are now quite generally agreed that, other things being equal, all patients with chronic mechanical obstruction and those who suffer from repeated hemorrhages or evidences of acute or chronic perforation should be treated surgically. They agree also that in all other types of the disease the patient should have as careful medical treatment as circumstances will permit until cure or chronicity is established. It goes without saying that recent ulcers should be treated medically. The surgeon sees patients whom medical treatment has failed to cure permanently, and he is, perhaps, less enthusiastic in his prognosis under such treatment than the internist who has relieved patients, greatly to their comfort and enthusiasm. Patients the
MAYO WJ. PROGRESS IN THE HANDLING OF CHRONIC PEPTIC ULCER. JAMA. 1922;79(1):19–22. doi:10.1001/jama.1922.02640010023007
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