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JOSEPH B. KIRSNER, M.D.

AMA Arch Surg. 1959;78(4):510-512.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Despite lack of knowledge of the fundamental cause of peptic ulcer, much is known of the pathogenesis of the disease and its treatment. Medical management, based chiefly upon the principles of control of gastric acidity, and maintenance of general health are effective in most patients; complications, though not prevented completely, are less frequent with sustained treatment. Occasionally, therapy itself is responsible for troublesome problems. Excessively restrictive and impractical diets, for example, may maintain or intensify existing nutritional deficiencies, indirectly retarding the complete healing of peptic ulcer. The elimination of irritants in food and drink is a useful therapeutic adjunct, readily accomplished without limitation of calories or nutritional elements. Antacids, though very useful when administered properly, may cause severe constipation, especially in the very ill or elderly, debilitated patient. Unrecognized or inadequately treated fecal impactions may cause intestinal obstruction, with the added hazards of stercoral ulceration of the descending colon or . . . [Full Text PDF of this Article]

Author Affiliations
Chicago

Department of Medicine, University of Chicago, The School of Medicine.

Footnotes
Submitted for publication June 26, 1958.

Read in a Panel Discussion before the Section on Gastroenterology and Proctology at the 107th Annual Meeting of the American Medical Association, San Francisco, June 26, 1958.

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