In discussing the treatment of peptic ulcer, whether one is considering the medical or the surgical aspect of the problem one is confronted with the question of the treatment of duodenal ulcer, as approximately 85 per cent of all peptic ulcers are duodenal. Among 864 peptic ulcers which have come under observation during the past ten years in the gastroenterologic clinic of the fourth medical and surgical divisions of Bellevue Hospital, 88 per cent duodenal lesions have been encountered. The duodenal ulcer presents the chief problem both for the gastroenterologist and for the surgeon. It has been the policy in the clinic never to refer a patient for operation if any method of medical management would relieve the symptoms from which he was suffering. Therefore, during the past ten years only 10 per cent of the patients have been referred for operation. This point is important when one considers the
HINTON JW. ADHERENT POSTERIOR DUODENAL ULCER. Arch Surg. 1938;37(6):944–948. doi:10.1001/archsurg.1938.01200060081004
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