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L'ulcera gastrica e duodenale nella chirurgia moderna.

JAMA. 1930;94(13):1018. doi:10.1001/jama.1930.02710390116032.
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The author, the chief surgeon of a large hospital in Trieste, frankly writes from the surgical point of view. He says that medical treatment is rarely successful or is only partially curative and that it is helpless in the face of serious complications, such as perforation or pyloric obstruction. Surgery, therefore, has gradually replaced medical management and is to be looked on as the preferable form of treatment. From his studies and from his personal experience with 782 operative cases he is strongly of the opinion that, when local conditions permit, antropyloric resection should be done. In protocols that are models of conciseness he gives the essential details of these cases. It is not to be concluded, however, that the book is merely a statistical study of Oliani's experience, or that it is overloaded with discussions of operative technic—quite the contrary. There are well considered chapters on the pathology of


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