[Treatment of perforated duodenal ulcer. Reflections concerning 110 cases. (author's transl)]. / Le traitement des ulcères duodénaux perforés. Réflexions à propos de 110 observations.

Based on the analysis of 110 perforated duodenal ulcers, and the revue of the literature, the authors present the following comments: 1) The mortality in the acute phase depends mainly on the general condition of the patient; that is the reason why the Taylor's method, which is the least aggressive, is indicated in the debilitated patients, but only if it proves quickly its efficiency. In all the other cases, this method is not suitable because of its numerous early and late failures. 2) The immediate and late results of the simple suture of the ulcer are not always beneficial to the patent. 3) The good results of the elective surgical treatment of the peptic ulcer disease are also found in the patients operated on for acute perforation. The authors propose a therapeutic protocole in which the indications depend more on the general state of the patients than on the classical criteria, and in which a surgical approach to the peptic ulcer disease is emphasized.

[Inflammatory tumors of the cecum]. / Les tumeurs inflammatoires du caecum

The authors study 19 personal cases of inflammatory tumour of the caecum and 60 cases found in the world literature over the same period. Without disputing the definition and classification of these inflammatory tumours which were perfectly drawn up by Bremen and Flamand in 1958, they emphasize the difficulty in determining the precise etiology. Struck by the large number of right hemicolectomies carried out for often benign lesions, they propose in order to reduce their number, the use of new investigations, such as selective arteriography, colonoscopy, and attempt whenever possible, to reduce the inflammation by medical treatment.