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Article
May 22, 1915

GASTRIC AND DUODENAL ULCER: THE INFLUENCE OF OPERATIVE PROCEDURES ON GASTRIC MOTILITY AND SECRETION

Author Affiliations

CHICAGO

From the medical and surgical services of the Michael Reese Hospital. Read at the first meeting of the Chicago Society of Internal Medicine, Feb. 22, 1915.

JAMA. 1915;LXIV(21):1745-1748. doi:10.1001/jama.1915.02570470029009
Abstract

It is generally conceded, both clinically and experimentally, that among the various factors responsible for chronic ulcer of the stomach, motor insufficiency and hypersecretion play the leading, if not the title, rôle. It follows that, in the treatment of ulcer, therapeutic procedures should be devised to control, so far as possible, these two important factors; in fact, the value of a given therapeutic measure can in a certain sense be gaged by its ability to restore the normal emptying time of the stomach (or to increase it) and to diminish the hyperacidity of the gastric contents.

Among various therapeutic measures instituted for the cure of gastric and duodenal ulcer, surgical procedures have been inaugurated in constantly increasing frequency. These surgical procedures are legion; they possess inexhaustible variations and modifications; they are constantly being supplanted by new models and new styles. Scant inquiry is devoted to the ultimate results of these

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