Perforated Peptic Ulcer: A Study of the Indications for Nonsurgical Treatment in Selected Cases

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Abstract
SINCE 1892 to 1895,1 , 2 when the first reports of successful suture of perforated peptic ulcer were published, the mortality rate in the surgical therapy of this condition has steadily decreased, as is shown in Table 1, which is a chronologic list of the mortality rates in a series of representative cases reported since 1894. This improvement in the prognosis for patients with perforated peptic ulcer is the result, in large measure, of better operative technic, better anesthesia, a clearer knowledge of fluid balance and of blood replacement and the use of the antibiotics and chemotherapy. Despite this record of improvement there . . .
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