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Article
August 15, 1908

THE DIAGNOSIS AT OPERATION BETWEEN CHRONIC ULCER AND CANCER OF THE STOMACH.

JAMA. 1908;LI(7):558-563. doi:10.1001/jama.1908.25410070016001e
Abstract

In my experience with gastric surgery, although not extensive, I have been confronted with difficulty in deciding in certain cases between the presence of benign and malignant disease, a decision so important and at the same time so difficult that the subject seemed to me worthy of consideration.

The past decade has been one of great activity in the surgery of the stomach. The work has been prosecuted with marked interest and zeal, and, on the whole, with commendable sanity and judgment. Nevertheless, it can not be denied that, as has been inevitable in any new department of surgical endeavor, we have had to feel our way by constant experiment and modification. Mistaken methods have been tried and found wanting; excellent procedures have been misapplied, and it is only recently that we have reached firm ground in such important points as the best method of gastroenterostomy and the technic of

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