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Article
August 1, 1908

PERFORATING GASTRIC ULCER, WITH REMARKS ON DIAGNOSIS AND TREATMENT.

JAMA. 1908;LI(5):405-406. doi:10.1001/jama.1908.25410050045003

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Abstract

The following case will furnish the text for some observations which seem appropriate in the light of this experience:

History.  —E. L. C., 62 years old, had had attacks of "indigestion" for many years. He sought no medical advice for these attacks of stomach trouble except on one occasion in the fall of last year, when he was put on a liquid diet for about ten days; then, the symptoms subsiding, all restrictions were removed and he felt comfortable until about May 16, 1908. He was visiting in Chicago at this time, and attributed the return of his gastric distress to indulgence in Chinese res taurant meals. He described the trouble as a heartburn, accompanied by belching and some distress in the epigastrium during the height of digestion. He never vomited in any of the attacks, nor did he ever have any pain shortly after eating. There was no history

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