ACUTE PERFORATION OF DUODENAL ULCERS

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Abstract
Acute perforation of a duodenal ulcer is a calamity that demands prompt surgical treatment. For this reason surgeons have shown it the greatest consideration. The responsibility of the physician who first sees a patient following perforation is grave. Early diagnosis is essential to early operation—the most important single factor in successful treatment. Frequently the responsibility of the physician does not end with the establishment of the diagnosis. Hospital interns and general practitioners, in many communities in this country, are called on to prescribe postoperative treatment for these patients—an important factor that has received scant consideration. Because of its emergency nature the operative treatment is frequently performed by junior surgeons, sometimes by resident hospital surgeons, and even by the occasional operator. The average mortality rate is high. An attempt has been made in this investigation to determine the causes of death from perforated duodenal ulcers in the order of their occurrence,

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