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
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DWORKEN HJ, ROTH HP, DUBER HC. THE EFFICACY OF MEDICAL CRITERIA IN DIFFERENTIATING BENIGN FROM MALIGNANT GASTRIC ULCERS(THE EFFICACY OF MEDICAL CRITERIA IN DIFFERENTIATING BENIGN FROM MALIGNANT GASTRIC ULCERS*). 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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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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