WALTER L. PALMER, M.D., F.A.C.P.; JOSEPH B. KIRSNER, M.D., F.A.C.P.; IRWIN LEVIN, M.D.
The 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
PALMER WL, KIRSNER JB, LEVIN I. THE TREATMENT OF INTRACTABLE PEPTIC ULCER1. Ann Intern Med. ;33:590–601. doi: 10.7326/0003-4819-33-3-590
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Published: Ann Intern Med. 1950;33(3):590-601.
Gastroenterology/Hepatology, Peptic Disease, Peptic Ulcer.
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