Document Details
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(395 K)
Title:
OBSERVATIONS ON THE VALUE OF GASTRIC IRRADIATION IN THE TREATMENT OF DUODENAL ULCER ( GASTROENTEROLOGY VOL 32 NO. 1 JANUARY 1957 ) (PARTIAL)
Author(s):
CLAYMAN, C B [UNIVERSITY OF CHICAGO]; KIRSNER, J B [UNIVERSITY OF CHICAGO]; LEVIN, E [UNIVERSITY OF CHICAGO]; PALMER, W L [UNIVERSITY OF CHICAGO]
Subject Terms:
HREX
Document Location:
Location - DOE/NNSA NUCLEAR TESTING ARCHIVE Address - P.O. Box 98521 City - Las Vegas State - NV Zip - 89193-8521 Phone - (702)794-5106 Fax - (702)862-4240 Email - NTA@NV.DOE.GOV
Document Type:
JOURNAL ARTICLE
Publication Date:
1957 Jan 31
Declassification Status:
Never classified
Document Pages:
0008
Accession Number:
NV0702393
OpenNet Entry Date:
1994 Aug 27
OpenNet Modified Date:
2012 May 14
Description/Abstract:
THE PURPOSE OF THIS PAPER IS TO ANALYZE THE RESULTS IN 723 PATIENTS WITH DUODENAL ULCER TREATED WITH IRRADIATION AND OBSERVED FOR 5 TO 18 YEARS. WITH THE PROGRAM OF MEDICAL TREATMENT DESCRIBED, INCLUDING EXTERNAL IRRADIATION DIRECTED TO THE FUNDUS AND BODY OF THE STOMACH, THE RECURRENCE RATE IN TERMS OF EPISODES PER 100 YEARS DECREASED FROM 102 TO 17; THE RECURRENCE RATE FOR HEMORRHAGE DIMINISHED FORM 4.3 TO 1.1; AND THE INCIDENCE OF PERFORATION DECREASED FROM 0.2 TO 0.1. EIGHT DEATHS WERE ATTRIBUTABLE TO ULCERS. ONE HUNDRED FIFTEEN REQUIRED SURGERY WITHIN THE FOLLOW-UP PERIOD OF 5 TO 18 YEARS. OF THE 723 PATIENTS, 114 ARE KNOWN TO BE DEAD. THE CAUSES OF DEATH ARE ANALYZED WITH PARTICULAR REFERENCE TO CARCINOMA AND THE EFFECTS OF RADIATION. THE SIGNIFICANCE OF THE 6 KNOWN DEATHS FROM CARCINOMA OF THE STOMACH, PANCREAS AND DUODENUM DEVELOPING 2 TO 13 YEARS AFTER TREATMENT IS YET TO BE DETERMINED. ROENTGEN IRRADIATION IN MODERATE AMOUNTS TO THE ACID-SECRETING AREAS OF THE STOMACH CONSTITUTES A SAFE AND VALUABLE ADJUNCT IN THE TREATMENT OF DUODENAL ULCER.