We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......

Use of Gastric Hypothermia In Treatment of Duodenal Ulcer

Arch Intern Med. 1965;115(4):459-463. doi:10.1001/archinte.1965.03860160085014.
Text Size: A A A
Published online

MANY therapeutic measures have been used in the treatment of peptic ulcer, but the rationale of all effective treatment has been based upon the decrease or elimination of acid-peptic juice. Antacids are effective if given often enough and in large enough amounts. It is usually necessary to give a patient 1-4 gm, or more, of an effective antacid in powder or tablet form or 15 to 30 cc of a liquid antacid every one half to one hour, or 2-4 ounces of skimmed milk, whole milk, or milk and cream every hour to neutralize the free hydrochloric acid in the stomach.

Anticholinergic agents are valuable adjuncts to ulcer therapy because they decrease the output of free hydrochloric acid; however, they do not usually produce achlorhydria. Even in those cases in which achlorhydria is produced, the effect rarely lasts for more than one to one and a half hours. No anticholinergic


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.