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Symptoms and Signs

DONALD D. KOZOLL, MD; KARL A. MEYER, MD

AMA Arch Surg. 1964;89(3):491-498.

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

Introduction

In two previous publications we presented data of prognostic value in the symptoms and signs of 1,904 patients with acute gastroduodenal perforations,¹ and of 2,008 patients with massive gastroduodenal hemorrhage.² In this report we wish to present the results of an identical study of 885 patients with obstruction due to gastroduodenal ulcers.

As with the two previous publications, the records of these patients were surveyed from the Cook County Hospital's confirmed peptic ulcer population of 8,451 patients cared for during the 20-year period from 1936 through 1955, using the same technique in processing the clinical data. Only those cases were accepted which showed roentgenologic, gastroscopic, operative, or necropsy evidence of a lesion. For purposes of clinical classification of obstruction we accepted the following criteria: X-ray evidence of retention of more than 25% of the barium meal for more than one hour; gastric aspiration of more than 200 . . . [Full Text PDF of this Article]

Author Affiliations
CHICAGO

From the departments of surgery of the Cook County Hospital, Northwestern University Medical School, and the Cook County Graduate School of Medicine.

Footnotes
Submitted for publication March 14, 1964.

Supported by a grant-in-aid from the Jerome D. Solomon Memorial Research Foundation and the Hektoen Institute for Medical Research of the Cook County Hospital.

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