ACUTE PERFORATED ULCER OF THE STOMACH AND DUODENUM

Ulcer of the Stomach and Duodenum

question of the aetiology of gastric ulcer is fully discussed. The authors consider that acute primary ulcer often commences as a hemorrhage, and that chronic ulcer, although it may be a sequel of an acute ulcer, is probably frequently due to impaired nutrition of the mucous membrane of the stomach consequent upon arterial degeneration. It has always seemed to us that a hemorrhage is the most l...

The stomach and duodenum.

The Diagnosis and Treatment of Chronic Ulcer of the Stomach and Duodenum

Notwithstanding the number and excellence of the articles that have been written on this subject during the last few years, it does not seem that the profession as a whole has realised the practical importance of these affections, nor has it acquired the knowledge regarding them like that which it has attained, for example, in the diagnosis of lesions of the vermiform appendix. The difficulties...

Esophagus, Stomach, and Duodenum

Patients with ingestion of foreign objects and esophageal food boluses commonly are seen in the emergency department (ED). Although most objects pass spontaneously, approximately 10 to 20% require a nonoperative intervention, and fewer than 1% require surgical removal. Death as a result of foreign body ingestion or impaction is rare. Patients with esophageal foreign bodies can be classified int...

The prognosis of the perforated acute duodenal ulcer.

The use of the terms 'acute' and 'chronic' when describing perforated duodenal ulcers has sometimes produced confusion. It is obviously incorrect to speak of an 'acute perforation' because all perforations are acute although some may be small and therefore leak slowly. On the other hand, it is established that both acute and chronic ulcers perforate, although it may appear to be of academic int...