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                              === THE ===

                       Cleveland Medical Gazette

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  _VOL. I._                _FEBRUARY, 1886._                    _No. 4._
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                          ORIGINAL LECTURES.

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                         ULCER OF THE STOMACH.

            A LECTURE BY PROF. L. OSER OF VIENNA, AUSTRIA.

 [Translated for the Cleveland Medical Gazette by Dr. C. Rosenwasser].


Gentlemen! The disease which we intend to study to-day is one, the
traces of which are found much oftener at post-mortems than the disease
itself in the clinic. A great many cases are overlooked and improperly
diagnosed for reasons which I shall state hereafter.

It has been called by various names. Round ulcer, perforating ulcer,
chronic ulcer, corroding ulcer and simple ulcer are only different
designations for one and the same condition. I prefer to call it
_peptic ulcer_, as it is always the result of self-digestion of a part
of the walls of the stomach, but is not always round, nor perforating,
nor chronic, nor corroded; nor is it always simple, several ulcers
having occasionally been found in one and the same stomach.

Pathologists have not yet come to a positive decision on the _modus
operandi_ of its origin, but several conditions are mentioned as
necessary for its development.

1. The self-digestion of a part of the stomach by the gastric juice.

2. Disturbances of the circulation of the blood in the walls of the
stomach.

3.