and treatment. If operation for a peptic ulcer is indicated, a partial gastrectomy should, as a rule, be done. The indirect or halfway procedures, such as pyloroplasty and gastroenterostomy, are often unsatisfactory.Dr. Everett D. Kiefer, Boston: If we cannot treat the con¬ dition satisfactorily our only answer to the problem is possible prevention, and that means that it is important for both the physician and the patient to realize that ulcer is an intermittent disease and a progressive disease, and that with each attack there is added damage to tissue, increased scar formation, and if this is allowed to accumulate over a period of years we get the intractable peptic ulcer ; therefore it is important for the patient to establish himself on a regimen for the control of this disease. We do not speak Of cure ; we speak of continued control, which means a constant, a permanent regimen that will keep him free of symptoms at all times, and it is best when it is controlled by the physician by occasional examinations to show that there is not accumulating additional anatomic change in the duodenum.Dr. Henry A. Rafsky, New York : We found that in the initial stage the immediate problem was the restoration of the water balance. If anemia was present citrated transfusions were From the

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