Summary
While it is known that ulcer “runs” in families, nothing has been known about gastric functions of the healthy members of such families, which have to be considered as potential ulcer patients. Therefore, the gastric function was tested in 82 healthy relatives of ulcer patients, not having stomach or intestinal complaints. The response of this group to an Ewald meal revealed too low values for free acidity in both males and females and the presence of much free acid in the resting stomachs of a great number of them. The abnormal response to the Ewald meal and possibly also the high acidity of the resting stomach may be interpreted as predisposing to gastritis. It may be the expression, however, of an abnormal gastric mechanism, so far unknown, which may produce both, abnormal secretion and ulcer. Dietary, hygienic, and social adjustment as prophylaxis for ulcer is advocated among the healthy members of ulcer families.
Similar content being viewed by others
References
Riecker, H.: The Familial Incidence of Peptic Ulcer.Ann. Int. Med., 7:732, 1933.
Feigenbaum, J., and Howat, D.: Physical Constitution and Disease. II. Absence of Correlation Between the Anatomic Constitution and the Predisposition to Diabetes Mellitus, Cholecystitis and Peptic Ulcer.Arch. Int. Med., 55:445, 1935.
Draper, G., and Touraine, G. A.: The Man-Environment Unit and Peptic Ulcer.Arch. Int. Med., 49:616, 1932.
Eppinger, H., and Hess, L.: Zur Pathologie des Vegetativen Nervensystems.Zt. f. klin. Med., 68:345, 1909, and 68:205, 231, 1909.
Müller, O., and Heimberger, H.: Uber die Enstehung des runden Magengeschwürs.Deut. Zeit. f. Chir., 187:33, 1924.
Necheles, H., Maskin, M., and Meyer, Jacob: Studies on Constitution and Peptic Ulcer. II. The Dermographic Time of Peptic Ulcer Patients and Normal Subjects.Am. J. Dig. Dis and Nutrit., 3:92, 1936.
Hurst, A. F.: New Views on the Pathology, Diagnosis and Treatment of Gastric and Duodenal Ulcer.Brit. Med. Jour., 1:559, 1920. The Alvarez Lecture on the Unity of Gastric Disorders.Brit. Med. Jour., 2:89, 1933.
Moody, R. O.: The Position of the Abdominal Viscera in Healthy Young British and American Adults.Jour. Anat., 71:223, 1927.
Moody, R. O.: Van Nuys, R. S., and Chamberlain, W. E.: Position of the Stomach. Liver and Colon. Results of a Roentgenologic Study in 600 Healthy Adults.J. Am. Med. Assoc., 81:1924, 1923.
Vazant, F. R., Alvarez, W. C., Berkson, J., and Eusterman, G. B.: Changes in Gastric Acidity in Peptic Ulcer, Chloecystitis and Other Diseases.Arch. Int. Med., 52:616, 1933.
Vanzant, F. R., Alvarez, W. C., Eusterman, G. B., Dunn, H. L., and Berkson, J.:Arch. Int. Med., 40:345, 1932. and in Chronic Gastric Affections of Children from 1 to 13 Years of Age.Acta Paediat., 4:356, 1925.
Klumpp, T. G., and Neale, A. V.: The Gastric and Duodenal Contents of Normal Infants and Children.Am. J. Dis. Child., 40:1215, 1930.
Wright, C. B.: Gastric Secretion, Gastro-intestinal Motility and Position of the Stomach in a Group of 250 Children of the Lymanhurst School.Arch. Int. Med., 33:435, 1934.
Author information
Authors and Affiliations
Additional information
From the Stomach Study Group and the Gastro-Intestinal Laboratory, Department of Physiology, Michael Reese Hospital, Chicago.
Rights and permissions
About this article
Cite this article
Meyer, J., Maskin, M., Necheles, H. et al. Studies on constitution and ulcer. American Journal of Digestive Diseases and Nutrition 3, 474–477 (1936). https://doi.org/10.1007/BF03000733
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF03000733