Peptic ulceration affecting the left ventricle.

Peptic ulceration affecting the left ventricle.

Large peptic ulcers affecting the cardiac chambers are unusual but at least 11 cases have been recorded. Penetration of the pericardium or great vessels is less rare; Prolla et all found 22 such cases and more recent examples have been reported by Monro et al2 and by Caspi et al.3 Penetration of a coronary artery was reported by Matthews.4 Given that there may be many similar cases which are ne...

The pathology of peptic ulceration.

is justifiable. A psychiatric opinion is often helpful, but it must be borne in mind that the lesion is never purely hysterical, though there may be a background or ' overlay' of neurosis. If biliary regurgitation is the main complaint then reflux due to hiatus hernia or to obstruction of the stoma must be excluded. As indicated previously, the operation which the writer finds most satisfactory...

The surgery of peptic ulceration.

Deaths from peptic ulceration.

Deaths due to peptic ulceration can be prevented only by curing the ulcer and preventing the ulcer diathesis permanently by either medical or surgical means. Recurrence of ulcers after drug treatment is a major problem, so continuous treatment is often necessary, but there is no evidence that this decreases mortality. Surgery is the only means of permanently removing the ulcer diathesis in most...

Vagotomy in the treatment of peptic ulceration.

The role of gastric hyperacidity in the etiology of certain forms of peptic ulceration is now firmly established. Any operation which claims to cure these ulcers must be shown markedly to reduce the gastric acid secretion, and to carry a low recurrence rate in a large series of cases in which none has been followed for less than five years, and preferably for not less than ten. The operation of...