It has seemed to us that a study of twenty-two cases of perforated gastric and duodenal ulcers might be productive of some conclusions worthy of attention. This collection of cases represents our entire combined experience with this interesting lesion, all cases being included, whether successful or unsuccessful. Many of our patients were operated on in the same institutions, and in all but one instance the operation was done as soon as permission for it was granted and the necessary arrangements could be made. Neither of us has declined to operate in any case of this nature which has come to our notice.
Before taking up the discussion of the cases it will be well to consider the following brief histories of them.
Cases 1, 2, 4 and 5 were reported1 by one of us a number of years ago. These histories
GIBBON JH, STEWART FT. PERFORATED GASTRIC AND DUODENAL ULCERS: WITH A REPORT OF TWENTY-TWO CASES. JAMA. 1909;LIII(19):1549–1555. doi:10.1001/jama.1909.92550190001001h
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