TY - JOUR T1 - PRoblems for the radiologist in diagnosis of gastric ulcer AU - Scott WG, Loitman BS, Swanson HA Y1 - 1959/12/12 N1 - 10.1001/jama.1959.03010330010004 JO - Journal of the American Medical Association SP - 2048 EP - 2053 VL - 171 IS - 15 N2 - 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. SN - 0002-9955 M3 - doi: 10.1001/jama.1959.03010330010004 UR - http://dx.doi.org/10.1001/jama.1959.03010330010004 ER -