During the past eight years at the Cleveland Clinic aluminum hydroxide gel has been the principal substitute for absorbable alkalis in the antacid therapy of peptic ulcer. It has been included in the treatment of more than 3,000 patients. A report on this subject was given before this association four years ago.1 My purpose in this communication is to show a trend in management, to report the experience of our group to date and to reemphasize a method of treatment which continues to give satisfactory results.
Obviously, each patient presents an individual problem. All clinicians are agreed that first attention should be given to the patient's general health, including his hygienic needs, such as living habits, physical and mental rest and proper nutrition. Since the cause of peptic ulcer is unknown, additional measures have been used in its treatment. The work of B. W. Sippy, published in 1915,2
COLLINS N. USE OF ALUMINUM HYDROXIDE AND OTHER NONABSORBABLE ANTACIDS: IN TREATMENT OF PEPTIC ULCER. JAMA. 1945;127(14):899–901. doi:10.1001/jama.1945.02860140017004
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