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December 1, 1900


Author Affiliations

Professor of the Principles of Surgery and Clinical Surgery, Medico-Chirurgical College, Philadelphia; Professor of Principles and Practice of Surgery in the Woman's Medical College of Philadelphia. PHILADELPHIA, PA.

JAMA. 1900;XXXV(22):1383-1393. doi:10.1001/jama.1900.24620480001001

One need not believe that gastric ulcer is so common an affection as Ewald1 claims, before admitting that its treatment is of the greatest importance.

Ewald thinks that 5 per cent. of the Germans suffer with ulcer of the stomach, and this estimate is supported by clinical statistics and post-mortem records drawn from various German hospitals. Da Costa2 and Welch3 think it less common in America, and in this opinion they are supported by a preponderance of authors and practitioners.

When one recalls how constantly the stomach is at work, the great variety of substances taken into it in the form of food and drink—regularly and irregularly— the wonder is that its diseases—resulting in inflammation particularly—are not more frequently encountered.

While gastric ulcer was until recently looked on as strictly a medical disease, some of its complications are now generally recognized as beyond the physician's province, and