HARVEY J. DWORKEN, M.D.; HAROLD P. ROTH, M.D., F.A.C.P.; HERBERT C. DUBER, M.D.
Any physician undertaking to treat gastric ulcer patients is faced with a dilemma when he refers to recent medical reports for guidance. Many authors1-10 advise immediate surgery because of a considerable incidence of unsuspected carcinomas in benign-appearing ulcers. Others11-17 advise against immediate surgery on the grounds that most gastric ulcers are benign, and complete symptomatic and radiologic response to medical therapy is likely to exclude a malignancy. In 1929 Jordan18 described a series of medical criteria, involving a trial of therapy, to differentiate benign from malignant gastric ulcers. A similar method of therapeutic trial has been employed at the Veterans
DWORKEN HJ, ROTH HP, DUBER HC. THE EFFICACY OF MEDICAL CRITERIA IN DIFFERENTIATING BENIGN FROM MALIGNANT GASTRIC ULCERS1. Ann Intern Med. 1957;47:711–720. doi: 10.7326/0003-4819-47-4-711
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Published: Ann Intern Med. 1957;47(4):711-720.
Gastroenterology/Hepatology, Peptic Disease, Peptic Ulcer.
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