This is the fourth edition of Dr. Gutmann's valuable work on painful syndromes of the epigastrium. Gutmann is one of France's most distinguished internists and gastroenterologists and has been in charge of the gastroenterologic clinic at the Salpêtriere for many years. His book is well written and beautifully illustrated with reproductions of 962 roentgenograms. The first 318 pages are on ulcer and its treatment. The only criticism of this section might be that in it Dr. Gutmann is too inclined to quote from the work of others and too reluctant to tell of his own experience and opinions.
The next section is on the earliest symptoms of cancer of the stomach; there are about 200 pages in this section. Dr. Gutmann wisely emphasizes the importance of studying not the late symptoms of cancer of the stomach but the early ones.
Section VIII is on the dyspeptic syndrome. Although today we