Gut
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The results of medical treatment in 113 patients with chronic ulceration of the angulus and vertical part of the stomach are reported. The ulcers failed to heal in 38% and healed but recurred in 22%. The ulcers healed and, except for minor recurrences in a few, remained healed for five years in 40%. ⋯ If such cases had been excluded from the present series the success rate would have risen to 64%. Patients with ulcers in these two categories should be referred for surgery. It is suggested that a trial of medical treatment is justifiable in most other cases, surgery being reserved for its failures.