[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
September 1964

Obstructing Gastroduodenal Ulcer: Symptoms and Signs

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;89(3):491-498. doi:10.1001/archsurg.1964.01320030081014

Introduction  In two previous publications we presented data of prognostic value in the symptoms and signs of 1,904 patients with acute gastroduodenal perforations,1 and of 2,008 patients with massive gastroduodenal hemorrhage.2 In this report we wish to present the results of an identical study of 885 patients with obstruction due to gastroduodenal ulcers.As with the two previous publications, the records of these patients were surveyed from the Cook County Hospital's confirmed peptic ulcer population of 8,451 patients cared for during the 20-year period from 1936 through 1955, using the same technique in processing the clinical data. Only those cases were accepted which showed roentgenologic, gastroscopic, operative, or necropsy evidence of a lesion. For purposes of clinical classification of obstruction we accepted the following criteria: X-ray evidence of retention of more than 25% of the barium meal for more than one hour; gastric aspiration of more than 200