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(Chest. 1958;34:55-59.)
© 1958 American College of Chest Physicians

Pulmonary Tuberculosis and Peptic Ulcer

ERNESTO WAINGORTIN M.D.1 and HEINZ J. LORGE M.D., F.C.C.P.2

1 Senior Physician, Worcester County Sanatorium.
2 Superintendent, Worcester County Sanatorium.

1. The coincidental occurrence of pulmonary tuberculosis and peptic ulcer has recently been observed with increasing frequency. Twenty-seven cases are here reported.

2. Tuberculous patients who develop gastrointestinal symptoms following thoracic surgery, oral chemotherapy, and especially PAS medication, should be investigated for peptic ulcer.

3. Patients who are subjected to gastrectomy for peptic ulcer should have preoperative chest x-ray films. If a pulmonary lesion is found, the presence of active tuberculosis should be ruled out. After the operation the lesion should be carefully followed in the immediate postoperative period as well as in the distant future.

4. Finally, a chest x-ray film should be part of the check-up examinations of all gastrectomized patients.






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Copyright © 1958 by the American College of Chest Physicians.