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FRED R. DENKEWALTER, M.D.; ROBERT N. WATMAN, M.D.

AMA Arch Surg. 1957;75(4):558-565.

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Introduction

Current therapy of gastric ulcers of undetermined histology most commonly consists of a specified period of intensive medical management followed by reevaluation. If the lesion has failed to heal, surgical intervention is undertaken.^1-5 When surgery is undertaken, it usually takes the form of "a radical, cancer-type" operation. The adoption of radical ablative^6-10 surgery for a lesion of unproved malignancy and probable benignancy is an exception to usual surgical principles as applied to other organ systems. It has been based upon several apparently valid factors: (1) the known incidence of malignancy in ulcerative lesions of the stomach; (2) the difficulty in distinguishing benign from malignant ulcers in many cases; (3) the poor outlook in patients with frank gastric cancer, and (4) the concept that radical resection not only offers the only real hope in the malignant ulcer but is rational treatment for the benign lesion as well.

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Author Affiliations
Columbus, Ohio

From the Department of Surgery, Ohio State University College of Medicine.

Footnotes
Submitted for publication March 4, 1957.

Read at the 14th Annual Meeting of the Central Surgical Association, Chicago, Feb. 22, 1957.

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