MAURICE L. SIEVERS, M.D., F.A.C.P.
To the editor: In the recently published UCLA Conference, "A New Look at Peptic Ulcer" (Ann Intern Med 84:57-67, 1976), Sturdevant summarized epidemiologic studies that contribute to understanding genetic, psychological, and environmental factors predisposing to ulcer. Omitted from the presentation, however, were some significant observations among American Indians (1-3).
Although the southwestern Indians develop gastric carcinoma and pernicious anemia as often as the general population, they have much lower rates for gastric ulcer and duodenal ulcer, especially for the latter (1, 2). In a 17-year period, the comparative frequency of these diagnoses among full heritage southwestern Indians at the Phoenix
SIEVERS ML. Peptic-Ulcer Factors in American Indians. Ann Intern Med. ;84:755–756. doi: 10.7326/0003-4819-84-6-755_3
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Published: Ann Intern Med. 1976;84(6):755-756.
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