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JAMA. 1904;XLII(20):1272-1276. doi:10.1001/jama.1904.92490650006002a.
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We have learned from recent surgery of the upper abdominal cavity that in very many cases diagnosed chronic dyspepsia, and treated hygienically, dietetically and medicinally without permanent relief, the symptoms are not the result of functional trouble or of chronic gastritis that changes the chemistry of the gastric secretions, but are the result of pathologic conditions that interfere with the normal physics of the stomach and duodenum, because of organic and mechanical changes in these organs, caused by gastric or duodenal ulcer, with frequent perigastric inflammation, adhesions and contractions, which predispose to the development of cancer.

While our learned pathologists, in necropsies of patients dying in the large hospitals of the world, tell us that about 5 per cent. have active gastric ulcer, or the scar of an old one, and that in 50 per cent. of these there are perigastric adhesions, that from 1 per cent. to


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