[Skip to Navigation]
March 10, 1900


JAMA. 1900;XXXIV(10):627-628. doi:10.1001/jama.1900.02460100049015

Ulceration of the stomach is a relatively common disorder, and is supposed to result in most cases from the digestive action of the gastric juice on portions of mucous membrane whose vitality is impaired by reason of blood-depravity, circulatory disturbances or traumatism. Usually a single lesion is present; occasionally there are several. The ulceration is situated most commonly on the posterior wall of the stomach, near the pylorus. Rarely the duodenum or the esophagus is also involved in the morbid process; while involvement of the stomach, duodenum and esophagus must be considered as unique. Such a case, however, has recently been placed on record by Glockner.1 The patient was a man, 65 years old, who had long suffered from symptoms of chronic gastric catarrh, ascribed to alcoholic excess. At the age of 58 symptoms of esophageal obstruction made their appearance, but these improved under treatment with bougies. There was