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Article
November 25, 1933

THE CHOICE OF OPERATION FOR DUODENAL ULCERATION

JAMA. 1933;101(22):1730. doi:10.1001/jama.1933.02740470044015
Abstract

The old controversy as to medical or surgical treatment of peptic ulcer, although not finally settled perhaps, has resulted in a somewhat satisfactory compromise. Many surgeons, among them Horsley,1 try medical treatment for duodenal ulcer, and if this fails they operate. For gastric ulcer, because of the danger of malignant change, they recommend immediate resort to surgical measures.

The problem remains, however, as to what operation should be performed for duodenal ulcer. A contribution to the solution of this problem is Gaither's2 recent survey and report. His conclusions are overwhelmingly in favor of conservative operations such as gastro-enterostomy. Strauss's discussion of Gaither's paper, nevertheless, is good evidence that the adherents of gastric resection in this country will not be downed, and the fairly widespread practice of performing radical resection in the clinics of central Europe is well known. The medical profession in general would welcome more accord among

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