Gastric ulcer presents a serious problem in its treatment because of possible malignant degenerative changes arising in a benign ulcer and especially because of the considerable percentage of diagnostic errors made in distinguishing between benign and malignant ulceration of the stomach. We believe it will be of value to discuss these serious aspects of the problem and to present the results of experiences at the Lahey Clinic with the surgical treatment of gastric ulcer over a ten year period (1936 to 1945 inclusive). From this study an attempt will be made to draw some conclusions regarding the management of peptic ulcer arising in the stomach.
This study is in order because in the past we have advised a more or less conservative approach; that is, employment of a medical regimen rather than a surgical procedure in the treatment of the majority of patients jwith gastric ulcer. Surgical treatment was used