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Previous Volume 337:1013 October 2, 1997 Number 14 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Molmenti (May 22 issue)¹ presented an Image in Clinical Medicine showing a perforated duodenal ulcer. The surgeon closed the ulcer with several stitches but subsequently performed a vagotomy. Vagotomy was once the standard surgical treatment as prophylaxis against recurrence of the ulcer. We now know that infection with Helicobacter pylori is the main cause of duodenal ulcers.² If this infection is cured, ulcers and their complications rarely recur.³ A very small percentage of duodenal ulcers are caused by aspirin or nonsteroidal antiinflammatory drugs, and these can be managed safely by stopping treatment with these drugs or, if . . . [Full Text of this Article]

References

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