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TREATMENT OF PERFORATED PEPTIC ULCER

TREATMENT OF PERFORATED PEPTIC ULCER Abstract DURING recent years two new methods have been developed for treatment of perforated gastric or duodenal ulcers: primary subtotal gastrectomy and conservative therapy without surgical intervention. The marked fall in the mortality figures for gastric resection which has occurred during recent years has induced some surgeons to employ this procedure in certain of their patients with perforated ulcer. Owing to the effect of antibiotics, blood transfusions, and adequate parenteral administration of fluids combined with continuous suction through an indwelling stomach tube, conservative therapy without surgical intervention has been successfully used in treating the same disorder. I have had no experience with the latter method of treatment, but through a follow-up study of our patients at Central Hospital I am able to give an opinion on the use of primary gastrectomy, for which reason I publish the following report. The series presented consists of all the patients who were treated for References 1. Alsted, G.: Studies on the Changing Incidence of Peptic Ulcer of the Stomach and Duodenum , Copenhagen, Ejnar Munksgaards Forlag, 1939. 2. Abrahamsen, H.: Hospitalstid. 68:367, 1925. 3. Tovee, E. B.: A. M. A. Arch. Surg. 63:408, 1951.Crossref 4. Morville, P.: Hospitalstid. 73:315, 1930. 5. Kühnel, P.: Hospitalstid. 73:849, 1930. 6. Sørensen, B.: Ugesk. læger 113:991, 1951. 7. Luer, C. A.: Surgery 27:360, 1950. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

TREATMENT OF PERFORATED PEPTIC ULCER

A.M.A. Archives Surgery , Volume 65 (5) – Nov 1, 1952

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Publisher
American Medical Association
Copyright
Copyright © 1952 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1952.01260020665004
Publisher site
See Article on Publisher Site

Abstract

Abstract DURING recent years two new methods have been developed for treatment of perforated gastric or duodenal ulcers: primary subtotal gastrectomy and conservative therapy without surgical intervention. The marked fall in the mortality figures for gastric resection which has occurred during recent years has induced some surgeons to employ this procedure in certain of their patients with perforated ulcer. Owing to the effect of antibiotics, blood transfusions, and adequate parenteral administration of fluids combined with continuous suction through an indwelling stomach tube, conservative therapy without surgical intervention has been successfully used in treating the same disorder. I have had no experience with the latter method of treatment, but through a follow-up study of our patients at Central Hospital I am able to give an opinion on the use of primary gastrectomy, for which reason I publish the following report. The series presented consists of all the patients who were treated for References 1. Alsted, G.: Studies on the Changing Incidence of Peptic Ulcer of the Stomach and Duodenum , Copenhagen, Ejnar Munksgaards Forlag, 1939. 2. Abrahamsen, H.: Hospitalstid. 68:367, 1925. 3. Tovee, E. B.: A. M. A. Arch. Surg. 63:408, 1951.Crossref 4. Morville, P.: Hospitalstid. 73:315, 1930. 5. Kühnel, P.: Hospitalstid. 73:849, 1930. 6. Sørensen, B.: Ugesk. læger 113:991, 1951. 7. Luer, C. A.: Surgery 27:360, 1950.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Nov 1, 1952

References

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