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Sixty‐two patients with gastric ulcers have been treated by vagotomy, pyloroplasty, and excision of the ulcers from 1963 to 1971. There has been only 1 recurrence. It is suggested that excision of the ulcer is an important step in conservative surgery for gastric ulcer.

seen a young mother decerebrated by inappropriate insulin continuation one can never forget it. May I make a second point concerning medical management? In my part of the world we can very frequently manage overweight pregnant diabetics with on 800-kcal regimen only, with considerable success, even when initial blood glucose levels have been around 300 mg/100 ml.-I am, etc.,

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