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November 4, 1911


Author Affiliations

Instructor in Medicine in the George Washington University and Attending Physician to the Out-Patient Department of the University Hospital WASHINGTON, D. C.

JAMA. 1911;LVII(19):1521-1523. doi:10.1001/jama.1911.04260110021008

The chief indication in all cases of gastric ulcer is rest and protection of the affected part, but here one is brought face to face with an opposite indication in the necessity of nourishing a patient who has already been brought low by a reduced diet, poor digestion, and hemorrhage.

Which of these indications should receive the greatest consideration must depend on the condition of the individual patient. Herein lies the explanation for a certain number of failures which occur when one follows one of the accepted plans of treatment as outlined by rules and tables. One must be governed by principles rather than rules, and in every instance the patient, as well as the ease, must be considered.

When there has been recent hemorrhage the patient should be kept absolutely quiet in bed, not even rising to empty the bowels or bladder. Food by mouth should be reduced to