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May 1964

Obstructing Gastroduodenal Ulcers: General Factors Influencing Incidence and Mortality

Author Affiliations

From the Departments of Surgery of the Cook County Hospital, Northwestern University Medical School, and the Cook County Graduate School of Medicine.

Arch Surg. 1964;88(5):793-799. doi:10.1001/archsurg.1964.01310230069014

In the course of a detailed survey of the records of 8,451 patients admitted to the wards of the Cook County Hospital between 1936 and 1955, and proved to have a gastroduodenal peptic ulceration, there were found 885 cases of obstructing gastric or duodenal ulcer. In a voluminous literature concerning peptic ulcer and its complications, there is a dearth of clinical reports concerning peptic ulcer with pyloric obstruction as a complication. In a series of previous publications by us,1-4 a consecutive series of 1,904 cases of acute perforation were reported on as to general factors affecting the incidence and mortality,1 the influence of certain symptoms and signs upon prognosis,2 laboratory findings,3 and the effects of treatment.4 In a subsequent series of publications, similar reports were made of 2,008 cases of massive hemorrhage due to gastroduodenal ulceration.5-8 This paper is the first on an anticipated

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