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January 3, 1914


JAMA. 1914;LXII(1):15-17. doi:10.1001/jama.1914.02560260023006

It has been my fortune during the past few months to observe seven cases of gastric ulcer which originated under conditions which are not encountered in the experience of the ordinary practitioner and which throw light on the conditions that in some instances at least bring about this trouble. The cases occurred in practice in the town of Tanana, Alaska. This town is situated in the central portion of the territory on the Yukon River. All the cases of gastric ulcer were in men who had been living under conditions peculiar to the country and to a primitive mode of life. They were all strong, robust men who had endured lives of hardship with hard work of the camp and trail. During the same period in the practice of this community there were no other cases of gastrointestinal disease. Gastric ulcer appears to be about the only kind of digestive

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