In discussing the treatment of gastric ulcer, Moynihan1 says: "The present medical treatment is wofully inefficient. Medical treatment, if properly carried out for a prolonged period, should enable an ulcer to heal. The need for surgical procedure is a confession that such treatment is unattainable or has failed." This statement expresses the view generally held concerning the present treatment of gastric ulcer, and gains particular significance when we consider its source.
The chief hindrances in the healing of a stomach ulcer are: (1) the direct irritation caused by the chemism of the gastric juice, as well as by the food which enters the stomach; and (2) the indirect irritation which manifests itself in increased peristalsis or hypermotility. It is reasonable to suppose that the ulcer would ultimately heal if these obstacles were overcome, i. e., if the gastric juice was not merely modified, but entirely removed, and food was
EPSTEIN AA. A SIMPLE NONOPERATIVE METHOD OF TREATING GASTRIC ULCER: PRELIMINARY REPORT. JAMA. 1922;79(16):1321–1323. doi:10.1001/jama.1922.02640160041013
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