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December 12, 1959, Vol 171, No. 15 >
ARTICLE | December 12, 1959

PROBLEMS FOR THE RADIOLOGIST IN DIAGNOSIS OF GASTRIC ULCER

Wendell G. Scott, M.D.; Bernard S. Loitman, M.D.; Harold A. Swanson, M.D.
JAMA. 1959;171(15):2048-2053. doi:10.1001/jama.1959.03010330010004.
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Roentgenographic and fluoroscopic examination of the stomach often reveals ulcers whose nature, whether benign or malignant, cannot be determined from appearance alone. The authors believe that when the nature of an ulcer along the greater curvature and prepyloric areas is in doubt, a twoweek to three-week trial of medical management is justified. Reexamination after one or two such trial periods should show substantial healing, if the ulcer is benign. If it is not, surgical treatment is indicated. If a patient with gastric ulcer does not secrete hydrochloric acid even when stimulated with histamine, the probability that the ulcer is malignant is much greater, and immediate surgical treatment is recommended.

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