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This thought-provoking monograph calls attention to the entity of ulceration of the stomach and duodenum in the older age groups. Observations on the clinical aspects and pathogenesis are presented, as derived from the study of 100 patients in the Ludolf Krehl Clinic in Heidelberg from 1944 to 1946.
The author sets forth his view of ulcer in the aged as a distinct clinical and pathogenic entity, differing from peptic ulcer. According to Spang, the former type occurs almost exclusively in those past 50 years of age, is usually a gastric ulcer and is almost always a large one (ulcers more than 5 cm. in diameter and 2 cm. in depth were encountered). The older the patient, the farther is the ulcer from the pylorus; the usual location is in the lesser curvature. The symptomatology is fairly definite: The symptoms are of short duration, the element of periodicity is lacking, there
Das Altersulkus an Magen und Zwolffingerdarm. Arch Intern Med (Chic). 1950;85(6):1011. doi:10.1001/archinte.1950.00230120120012
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