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EFFECT OF ULCER ON ACIDITY AND NEUTRALIZING ABILITY IN DUODENAL BULB
J. EDWARD BERK, M.D.;
MARTIN E. REHFUSS, M.D.;
J. EARL THOMAS, M.D.
Arch Intern Med. 1942;70(6):959-974.
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The preponderance of the investigation dealing with the pathogenesis and the maintenance of chronic duodenal ulcer has been concerned with the acid gastric juice. A large amount of work has been reported tending to incriminate this factor and designed to determine the best means of combating and alleviating its ill effects. As a consequence, clinical attention has been narrowly focused on the acidity in the stomach, while the acidity in the duodenum has been almost entirely neglected. In order to evaluate adequately the role of the acid gastric juice in duodenal ulcer, it is essential to know what effect the acid chyme has on the reaction and the neutralizing ability at the actual site of the ulcer—the duodenal bulb.
The contents of the first part of the duodenum in normal persons have been shown to possess an ability to neutralize, buffer and dilute gastric chyme which is generally very efficient.
. . . [Full Text PDF of this Article]
Author Affiliations
PHILADELPHIA
From the Departments of Medicine and Physiology of the Jefferson Medical College of Philadelphia.
Footnotes
Ross V. Patterson Fellow in Gastroenterology.
Aided by a grant from John Wyeth and Bro., Inc.
Portion of thesis submitted by Dr. Berk to the Faculty of the Graduate School of Medicine of the University of Pennsylvania in partial fulfilment of the requirements for the degree of Doctor of Medical Science (D.Sc. [Med.]) for graduate work in internal medicine.
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