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Article
July 22, 1911

A CASE OF ACUTE GASTRIC ULCER OF THE ANTERIOR WALL

Author Affiliations

Gastroenterologist to the Peoples Hospital and German Poliklinik NEW YORK

JAMA. 1911;LVII(4):282-283. doi:10.1001/jama.1911.04260070286006

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Abstract

Ulcers of the posterior wall and greater curvature of the stomach and duodenum in the region of the pylorus are most common, while those of the anterior wall all the way to the fundic region are distinctly uncommon—comprising, possibly, not more than 10 per cent. of the areas with which gastric juice comes in contact in the process of gastric digestion. Ulcers in the latter location are but rarely diagnosed medically, diagnosis usually taking place at operation for their perforation, a complication most likely to happen in these cases because of the unprotected anatomy of the anterior area of the stomach. The rapid peritonitis consequent to perforation of these ulcers, also makes the diagnosis of them important, and a case is offered in which this was possible and in which the medical treatment was successful.

Patient.  —Miss E. McD., a stenographer, 18 years old, was first seen on Feb.

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