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Peptic Ulceration in Childhood

WILLIAM L. CRAVER, M.D.; FRANK GLENN, M.D.
AMA Arch Surg. 1958;77(6):833-836. doi:10.1001/archsurg.1958.01290050003001.
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Certain disease entities and conditions commonly encountered among adults may also be found in the very young. Generally youth seems to resist them, but once established they tend to persist and increase in extent. Peptic ulcer is prevalent among adults in this country. Readily recognized, it is well treated, so that it is estimated that 85% of patients properly diagnosed are managed satisfactorily by medical treatment and less than 15% require surgical therapy. By comparison, peptic ulcer is considered very rare in children. Because of its seeming infrequency, it is seldom mentioned in the differential diagnosis of gastrointestinal disease in the very young. During a review of the cases of adult patients with peptic ulcer, we became impressed with how often the history of the disease extended back into early childhood. Abdominal pain and other symptoms compatible at least with ulcer have been common among those who have been the

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