THE TREATMENT OF INTRACTABLE PEPTIC ULCER
Authors: W L PALMER, J B KIRSNER, I LEVIN
Journal: Annals of Internal Medicine (1950)

Article1 September 1950THE TREATMENT OF INTRACTABLE PEPTIC ULCERWALTER L. PALMER, M.D., F.A.C.P., JOSEPH B. KIRSNER, M.D., F.A.C.P., IRWIN LEVIN, M.D.WALTER L. PALMER, M.D., F.A.C.P.Search for more papers by this author, JOSEPH B. KIRSNER, M.D., F.A.C.P.Search for more papers by this author, IRWIN LEVIN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-33-3-590 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe term "intractable" means "difficult to treat" or "unruly." The conclusion that a given patient or a given ulcer is "intractable" is in part at least a matter of opinion. It is important to distinguish between intractable people and intractable lesions. The more the physician strives to gain the coöperation of his patients and to understand them as individuals, the fewer will be the truly intractable ones. The treatment required for an intractable ulcer depends upon a number of factors: the coöperation of the patient, the location of the lesion, the amount of gastric secretion, the ease of neutralizing the...Bibliography1. LevinKirsnerPalmerButler EJBWLCB: A comparison of the nocturnal gastric secretion in patients with duodenal ulcer and in normal individuals, Gastroenterology 10: 952-964, 1948. MedlineGoogle Scholar2. Palmer WL: Certain aspects of benign and malignant gastric ulcer, Bull. New York Acad. Med. (in press). Google Scholar3. RickettsPalmerKirsnerHamann WEWLJBA: Achlorhydria and peptic ulcer: a further study of the role of peptic activity in the pathogenesis and course of peptic ulcer, Ann. Int. Med. 30: 24-39, 1949. LinkGoogle Scholar4. KirsnerLevinPalmer JBEWL: Observations on the excessive nocturnal gastric secretion in patients with duodenal ulcer, Gastroenterology 11: 598-615, 1948. MedlineGoogle Scholar5. Palmer WL: Fundamental difficulties in the treatment of peptic ulcer, J. A. M. A. 101: 1604-1607, 1933. CrossrefGoogle Scholar6. RickettsPalmerKirsnerHamann WEWLJBA: Radiation therapy in peptic ulcer: An analysis of results, Gastroenterology 11: 789-806, 1949. Google Scholar7. RickettsPalmerKirsnerHamann WEWLJBA: Radiation therapy in peptic ulcer: A study of selected cases, Gastroenterology 11: 807-817, 1949. Google Scholar8. LevinHamannPalmer EAWL: Effect of radiation therapy on the nocturnal gastric secretion in patients with duodenal ulcer, Gastroenterology 8: 565, 1947. MedlineGoogle Scholar9. WoodwardHarperToveeDragstedt ERPVEBLR: Effect of vagotomy on gastric secretion in man and experimental animals, Arch. Surg. 59: 1191-1212, 1949. CrossrefMedlineGoogle Scholar10. Schwartz K: Über Penetriende Magen- und Jejunalgeschwüre, Beitr. z. klin. Chir. 67: 96, 1910. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Chicago, Illinois*Presented at the Thirty-first Annual Session of the American College of Physicians, Boston, Mass., April 18, 1950.From the Frank Billings Medical Clinic, Department of Medicine, University of Chicago, Chicago, Illinois. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byIntractable duodenal ulcer: objective evaluation as a basis for surgical selectionTreatment of Peptic UlcerThe problem of peptic ulcerDie Krankheiten des Magens 1 September 1950Volume 33, Issue 3Page: 590-601KeywordsGastric ulcersLesionsPeptic ulcersUlcers ePublished: 1 December 2008 Issue Published: 1 September 1950 PDF downloadLoading ...