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Article1 October 1957POSTBULBAR DUODENAL ULCERJOHN A. RAMSDELL, M.D., LLOYD G. BARTHOLOMEW, M.D., JAMES C. CAIN, M.D., F.A.C.P., GEORGE D. DAVIS, M.D.JOHN A. RAMSDELL, M.D.Search for more papers by this author, LLOYD G. BARTHOLOMEW, M.D.Search for more papers by this author, JAMES C. CAIN, M.D., F.A.C.P.Search for more papers by this author, GEORGE D. DAVIS, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-47-4-700 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptPostbulbar duodenal ulcer, as the name implies, is one situated in the duodenum distal to the duodenal bulb. Anatomically, such an ulcer is in the postbulbar part of the first portion, or in the second, third or fourth portion, of the duodenum. Fewer than 150 cases have been reported in the English literature in this century, the largest series being that of 18 cases reported by Swarts and Rice1in 1954. This type of ulcer may be extremely difficult to diagnose, inasmuch as specific diagnostic criteria have not been universally accepted. The purpose of this investigation was to determine in...Bibliography1. SwartsRice JMML: Post-bulbar duodenal ulcer with particular reference to its hemorrhagic tendency, Gastroenterology 26: 251, 1954. CrossrefMedlineGoogle Scholar2. BallSegalGolden RPALR: Post bulbar ulcer of the duodenum, Am. J. Roentgenol. 59: 90, 1948. Google Scholar3. PortisJaffé SARH: A study of peptic ulcer based on necropsy records, J. A. M. A. 110: 6, 1938. CrossrefGoogle Scholar4. SturtevantShapiro MLL: Gastric and duodenal ulcer: frequency, number, size, shape, location, color, sex and age in seven thousand seven hundred necropsy records at Bellevue Hospital, New York, Arch. Int. Med. 38: 41, 1926. CrossrefGoogle Scholar5. IvyGrossmanBachrach ACMIWH: Peptic ulcer, 1950, The Blakiston Company, Philadelphia. Google Scholar6. Morlock CG: Indications for the surgical treatment of peptic ulcer, Journal-Lancet 65: 8, 1945. Google Scholar7. Balfour DC: The surgical treatment of haemorrhagic duodenal ulcer, Ann. Surg. 96: 581, 1932. CrossrefMedlineGoogle Scholar8. AlvarezFariñas LFPL: Post-bulbar duodenal ulcers, Gastroenterology 8: 1, 1947. MedlineGoogle Scholar9. Wolke K, quoted by Borman, C. N.: Ulcer in the descending duodenum, Am. J. Roentgenol. 50: 752, 1943. Google Scholar10. Moynihan BG: Duodenal ulcer, 2nd Ed., 1912, W. B. Saunders Company, Philadelphia, p. 282. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Rochester, Minnesota*From the Symposium on Gastroduodenal Ulcer, presented at the Thirty-eighth Annual Session of The American College of Physicians, Boston, Massachusetts, April 11, 1957.From the Department of Surgery of the Mayo Foundation and the Sections of Medicine and Roentgenology, Mayo Clinic and Mayo Foundation, Rochester, Minnesota.The Mayo Foundation, Rochester, Minnesota, is a part of the Graduate School of the University of Minnesota.Requests for reprints should be addressed to Section of Publications, Mayo Clinic, Rochester, Minnesota. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byNature and treatment outcomes of bleeding post‐bulbar duodenal ulcersAnalysis of Recent Cases of Postbulbar Duodenal Ulcer in JapanPeptic ulcer as encountered in a surgical unit in South India a review of 198 casesPost-bulbar and coexisting ulceration: unique features of peptic ulcer in Hyderabad.Benign duodenocolic fistula: an unusual case of gastrointestinal bleedingPostbulbar duodenal ulcer in a patient with pentagastrin-fast achlorhydriaA clinicopathological study of post-bulbar duodenal ulcer —Analysis of 6 cases and comparison to usual chronic duodenal ulcer—Surgical management of acute hemorrhagic postbulbar duodenal ulcer after a previous major surgical procedurePostbulbar Duodenal UlcerDuodenal ulcers: early and late onset.X-Ray diagnosis of postbulbar duodenal ulcer by means of double air contrast methodPeptic Ulcerations in ChildhoodReferencesPOST-BULBAR DUODENAL ULCERMAST CELLS AND BASOPHIL LEUCOCYTESReview of Lesions of the Small IntestineThe Differential Diagnosis of Hepatitis, Cirrhosis and Surgical Jaundice 1 October 1957Volume 47, Issue 4Page: 700-710KeywordsDuodenal ulcersDuodenumGastroenterology and hepatologyGraduate medical educationHemorrhageHydrochloric acidPeptic ulcersSurgeryUlcers Issue Published: 1 October 1957 PDF downloadLoading ...

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