The marked chronicity and limitation to certain geographical regions no less than the peculiar conformation and obscure origin have maintained a singular interest in the so-called round or peptic ulcer of the stomach and duodenum.
In certain localities it is claimed that cases of this nature are increasing. Recent statistics from St. Thomas' Hospital, London, speak for such a condition there, and Greenough and Joslin, who in 1899 summarized the cases of the Massachusetts General Hospital, concluded that gastric ulcer was observed with greater frequency in Boston than in some other large American cities. The importance to surgeons of gastric and duodenal ulcers of this type has increased with the perfected technic by means of which perforation may be successfully combated and various operations to cure or remove the ulcers have been attempted, but as yet with rather meager results.
However interesting these phases, it has been the method
THE PATHOGENESIS OF GASTRIC ULCER. JAMA. 1901;XXXVII(21):1392–1393. doi:10.1001/jama.1901.02470470034003
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