THE PROGNOSTIC VALUE OF GASTRIC ACIDITY IN CASES OF RESECTABLE CARCINOMA

Autor: Howard R. Hartman
Rok vydání: 1924
Předmět:
Zdroj: JAMA: The Journal of the American Medical Association. 83:1976
ISSN: 0098-7484
DOI: 10.1001/jama.1924.02660250014004
Popis: The diagnostic value of gastric analysis, and particularly of gastric acidity, has received much comment in medical literature, and the possibility of obtaining a correct idea of the characteristics of the whole gastric content, by means of a single tubing or fractional aspirations and analysis, has been questioned. Nevertheless, a practical working base has been established. Gastric acidity aids in determining the degree of activity of peptic ulcer, and the need for radical or conservative intervention. Experience has taught us that an ulcer cannot be active if there is frank anacidity, and surgical intervention seems most advisable when the gastric acidity is high. Time and further investigation may compel us to change our ideas with regard to gastric analysis. Formerly, anacidity was considered essential to the diagnosis of carcinoma of the stomach. The literature gives varying data as to the frequency with which free hydrochloric acid is found in such
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