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E. BRUCE TOVEE, M.D., F.R.C.S.(Edin. and Can.)
AMA Arch Surg. 1951;63(3):408-412. doi:10.1001/archsurg.1951.01250040414016.
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THE PERMANENCE of cure following the surgical treatment of perforated duodenal ulcers has long been the subject of much speculation. Throughout the literature there seems to be a note of extreme optimism, which suggests that the majority of persons who have had a perforation can look forward to a future free from ulcer distress. In one series published in 1936 the author states that 95% of the patients who underwent simple closure of a perforated ulcer remained well in the ensuing follow-up which extended over a 26 yr. period.

For many years now a group at the Toronto General Hospital have been especially interested in all aspects of the problem of perforated ulcers. In a former communication, published in 1944, we presented the details of the immediate management of 114 cases. In this paper I should like to describe what has happened to the patients in this series in a


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