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Esophageal Ulcer in the Adult: Clinical Aspects and Experiences with Conservative Treatment

Esophageal Ulcer in the Adult: Clinical Aspects and Experiences with Conservative Treatment Abstract Esophageal ulcer has a well-deserved reputation for seriousness due to the constant threat of hemorrhage and perforation.1 In fact, because of these dangers a radical surgical approach to therapy may be indicated in a portion of cases and has been urged by some clinicians as proper for most cases.2 One notices, however, that recently reported series3,4 of esophageal ulcer patients show a considerably smaller proportion of serious complications than many of the older series.5,6 It is highly unlikely that there has been any change in the behavior of the lesion; rather, it appears that formerly a good many esophageal ulcers made their presence known only through their complications, while more recently the increasing popularity of medical esophagoscopy has served to bring to light many ulcers which otherwise would have gone unrecognized. Primary esophageal ulcer usually occurs as a single lesion and almost always involves the distal References 1. Palmer, E. D.: The Esophagus and Its Diseases , New York, Paul B. Hoeber, Inc., 1952, pp. 306-335. 2. Sweet, R. H.; Robbins, L. L.; Gephart, T., and Wilkins, E. W., Jr.: The Surgical Treatment of Peptic Ulceration and Stricture of the Lower Esophagus , Ann. Surg. 139:258-268, 1954.Crossref 3. Allison, P. R.: Peptic Ulcer of the Oesophagus , Thorax 3:20-42, 1948.Crossref 4. Schmidt, H. W.: Regurgitant Ulceration at the Esophagogastric Junction , Proc. Staff Meet. Mayo Clin. 29:153-163, 1954. 5. Cantieri, C.: Contributo allo studio dell'ulcera semplice (peptica) dell'esofago , Arch. sc. med. 34:439-492, 1910. 6. Tileston, W.: Peptic Ulcer of the Oesophagus , Am. J. M. Sc. 132:240-265, 1906.Crossref 7. Brombart, M.; Laurent, Y., and Godart, J.: L'Ulcère bénin de l'œsophage associé à l'ulcère duodenal: Ses relations avec les dyskinésies œsophagiennes , Arch. mal. app. digest. 41:511-522, 1952. 8. Muehsam, G. E.: Fibrinous Pericarditis Secondary to Esophageal Ulceration , Dis. Chest 22:356-359, 1952.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Internal Medicine American Medical Association

Esophageal Ulcer in the Adult: Clinical Aspects and Experiences with Conservative Treatment

A.M.A. Archives of Internal Medicine , Volume 99 (5) – May 1, 1957

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Publisher
American Medical Association
Copyright
Copyright © 1957 American Medical Association. All Rights Reserved.
ISSN
0888-2479
DOI
10.1001/archinte.1957.00260050023003
Publisher site
See Article on Publisher Site

Abstract

Abstract Esophageal ulcer has a well-deserved reputation for seriousness due to the constant threat of hemorrhage and perforation.1 In fact, because of these dangers a radical surgical approach to therapy may be indicated in a portion of cases and has been urged by some clinicians as proper for most cases.2 One notices, however, that recently reported series3,4 of esophageal ulcer patients show a considerably smaller proportion of serious complications than many of the older series.5,6 It is highly unlikely that there has been any change in the behavior of the lesion; rather, it appears that formerly a good many esophageal ulcers made their presence known only through their complications, while more recently the increasing popularity of medical esophagoscopy has served to bring to light many ulcers which otherwise would have gone unrecognized. Primary esophageal ulcer usually occurs as a single lesion and almost always involves the distal References 1. Palmer, E. D.: The Esophagus and Its Diseases , New York, Paul B. Hoeber, Inc., 1952, pp. 306-335. 2. Sweet, R. H.; Robbins, L. L.; Gephart, T., and Wilkins, E. W., Jr.: The Surgical Treatment of Peptic Ulceration and Stricture of the Lower Esophagus , Ann. Surg. 139:258-268, 1954.Crossref 3. Allison, P. R.: Peptic Ulcer of the Oesophagus , Thorax 3:20-42, 1948.Crossref 4. Schmidt, H. W.: Regurgitant Ulceration at the Esophagogastric Junction , Proc. Staff Meet. Mayo Clin. 29:153-163, 1954. 5. Cantieri, C.: Contributo allo studio dell'ulcera semplice (peptica) dell'esofago , Arch. sc. med. 34:439-492, 1910. 6. Tileston, W.: Peptic Ulcer of the Oesophagus , Am. J. M. Sc. 132:240-265, 1906.Crossref 7. Brombart, M.; Laurent, Y., and Godart, J.: L'Ulcère bénin de l'œsophage associé à l'ulcère duodenal: Ses relations avec les dyskinésies œsophagiennes , Arch. mal. app. digest. 41:511-522, 1952. 8. Muehsam, G. E.: Fibrinous Pericarditis Secondary to Esophageal Ulceration , Dis. Chest 22:356-359, 1952.Crossref

Journal

A.M.A. Archives of Internal MedicineAmerican Medical Association

Published: May 1, 1957

References