The contributions to the literature of ulcer of the stomach and duodenum have become so numerous that it will be impossible in a paper of this character to give credit for the many valuable advances which have been brought out by individual workers. I wish in this connection, however, to express my appreciation of their labors.
For more than twenty years the complications of this malady have received attention. Operations for benign stenosis of the pylorus and some acute secondary manifestations have occasionally been performed, but not until the last five years has there been a surgical invasion into the field of unhealed ulcers with a view of giving relief from pain, under-feeding and chronic disability which so frequently accompany the disease.
Acute ulcer of the stomach and duodenum properly belong to the domain of internal medicine, and surgery has to do only with the complications such as perforation, hemorrhage