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Previous reports of benign gastric ulcer with achlorhydria have recommended surgical removal of the ulcer, even though a malignant process had not been demonstrated. We report a patient with achlorhydria and a gastric ulcer who, at exploration 4 weeks after discovery, had only a healed ulcer. Its benign nature was demonstrated by endoscopic biopsies and cytology and confirmed at surgery. The patient has remained achlorhydric on follow-up and has not had further ulcers. We recommend that, after multiple endoscopic biopsies and cytology have adequately excluded a malignant process, a gastric ulcer be followed to complete healing, even in the presence of achlorhydria. If healing is incomplete by 6-12 weeks, surgical intervention should be contemplated, just as for more routine gastric ulcers.
M R Sogge, and
M L Butler
March 1951,
Gastroenterology,
M R Sogge, and
M L Butler
October 1979,
Acta hepato-gastroenterologica,
M R Sogge, and
M L Butler
November 1964,
Bulletin of gastrointestinal endoscopy,
M R Sogge, and
M L Butler
February 1978,
Archives of surgery (Chicago, Ill. : 1960),
M R Sogge, and
M L Butler
December 1951,
British medical journal,
M R Sogge, and
M L Butler
February 1953,
The Review of gastroenterology,
M R Sogge, and
M L Butler
September 1949,
Gastroenterology,
M R Sogge, and
M L Butler
January 1983,
International surgery,
M R Sogge, and
M L Butler
November 1953,
The South Dakota journal of medicine and pharmacy,
M R Sogge, and
M L Butler
June 1977,
Gastroenterology,
