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April 21, 1945


JAMA. 1945;127(16):1030-1037. doi:10.1001/jama.1945.02860160006003

This paper deals with the acute and subacute processes associated with peptic ulcer. Duodenitis as an entity unrelated to duodenal ulcer is so rare that its surgical consideration is unnecessary. Gastritis, on the other hand, is a different problem. The type of gastritis so commonly associated with malignant lesions may not be an inflammatory process, and certainly the acute gastritis so often associated with alcohol and other chemical irritants need not be considered here. This paper, therefore, will be limited largely to the inflammatory lesions promoted by peptic ulcer, gastric, duodenal and jejunal.

A few years ago a discussion of "Inflammatory Lesions of the Stomach and Duodenum" would have been devoted largely to the value of medical treatment versus surgery. Today the ulcer problem has attained a satisfactory degree of standardization and agreement between the advocates of the two methods of treatment.

I should like to discuss the changes and

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