0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Ulcer: The Primary Cause of Gastric and Duodenal Ulcer: Diagnosis, Medical and Surgical Treatment, Prevention

JAMA. 1948;137(15):1345. doi:10.1001/jama.1948.02890490073038.
Text Size: A A A
Published online

ABSTRACT

The author has written in an interesting manner the medical facts and theories surrounding the most widely discussed topic—peptic ulcer. He mentions all the common theories of ulcer causation and notes the factors that are not explained in each of these theories. Then he speaks of the "primary cause" of ulcer, whether gastric or duodenal, which is his contribution to the subject. It is based on ischemia and anemia of the stomach mucosa and wall, due to pressure against the stomach by the posterior wall of the liver and behind by the spinal vertebral bodies, the crura of the diaphragm and the firm prevertebral tissue. He pays especial attention to the length of time the ulcer-bearing area of the stomach is held in the angle of the hepatovertebral notch and the severity of the pressure and the anemia which results. This lowering of tissue resistance predisposes to ulcer formation. He

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();