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ONSET OF PEPTIC ULCER IN THE AGED

HENRY A. RAFSKY, M.D.; MICHAEL WEINGARTEN, M.D.; CHARLES I. KRIEGER, M.D.
JAMA. 1948;136(11):739-742. doi:10.1001/jama.1948.02890280007003.
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In a previous report of 408 cases of bleeding peptic ulcer,1 it was observed that 56 or 13.7 per cent were in patients over the age of 60 years. A review of the 56 cases revealed that in 25 of them the first symptoms of ulcer occurred after the fifth decade. A recent study of the gastric secretory response in the aged2 showed that 12.7 per cent of persons over the age of 65 had hyperchlorhydria. In view of these observations, it was thought of interest to review a series of consecutive hospital admissions for peptic ulcer to determine the incidence of the onset of symptoms in patients over 60 years of age and the clinical course of peptic uker in this group.

CLINICAL STUDY  This study is based on a series of 1,800 successive admissions for peptic ulcer to two hospitals from 1941 to 1947. Three hundred

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