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May 24, 1902


JAMA. 1902;XXXVIII(21):1376. doi:10.1001/jama.1902.02480210034010

Tuberculosis of the stomach is an exceedingly rare form of tuberculosis as compared with the frequency of tuberculous localization lower down in the intestinal tract. The causes of this relative immunity to tuberculosis on part of the stomach are not altogether clear. Several investigators have shown that the gastric juice does not destroy tubercle bacilli except after prolonged action for twenty-four hours or more. The experiments have not demonstrated, however, that the gastric juice is a favorable medium for the growth of the bacilli and in this fact may lie the explanation of the rarity of tuberculous gastritis and frequency of tuberculous enteritis. Only occasionally is chronic ulcerative tuberculosis of the lungs complicated with gastric tuberculosis and the question naturally arises, what are the special predisposing factors that lead to its development in these exceptional cases? Przewoski1 after describing five examples of tuberculous gastritis notes that in all the