The internal treatment of gastric and duodenal ulcer is rightly receiving widespread attention.
Most modifications of the old established methods are founded on the same principle, namely, to rest the stomach as much as possible until the acute symptoms disappear, to reduce secretions, and to bind the existing secretions. Such procedure, if effectively carried out, is favorable to the healing of the ulcer. It is essential, of course, to observe the treatment most minutely and persistently. Boas and others are right when they state that the reason so many uncomplicated ulcers are receiving surgical treatment is that general practitioners, and to some extent even specialists, do not sufficiently await results from the internal treatment. One often hears that a decision as to whether a gastric or duodenal ulcer should receive medical or surgical treatment depends on the circumstances of the patient. It is sometimes asserted that in the case of
GROSS MH, HELD IW. DUODENAL ALIMENTATION. JAMA. 1915;LXV(6):520–523. doi:10.1001/jama.1915.02580060052016
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