Perforated Peptic Ulcer: A Study of the Indications for Nonsurgical Treatment in Selected Cases

History of Perforated Duodenal and Gastric Ulcers

“…Additionally, he advised that certain patients who were "too ill for surgery" should be similarly treated [14]. This latter indication, first stated by Wangensteen, has been universally accepted [15]. An extensive study of nonoperative management is that of Fontaine et al [16], who reported that approximately 80% of all patients recovered without operation; their findings support those of Taylor and others [13,14,[17][18][19].…”