Papers And Originals

Duodenal Ulcer and Recurrent Dyspepsia

Br Med J 1970; 3 doi: (Published 15 August 1970) Cite this as: Br Med J 1970;3:368
  1. G. K. H. Hodgkin,
  2. R. Freedman,
  3. I. Fuller,
  4. J. Whewell


    A survey of recurrent indigestion in four general practices (19,619 patients) showed a wide range of dyspeptic complaints. Of these 82 (4·2 per 1,000) already had a proved ulcer and 144 (7·3 per 1,000) had symptoms suggesting a duodenal ulcer and had either not been investigated or had previously had a normal barium meal. A duodenal ulcer was found radiologically in half the men (46 out of 95) but in only 16% of the women (8 out of 49). In 11 (25%) of the 46 men shown to have an ulcer a barium meal had been previously reported as normal. Evidence is put forward that ulcer symptoms in the large residue of patients with a normal barium meal (38 men, 29 women) were produced by a primary duodenal condition (duodenitis) of which ulcer was one complication.