The diagnosis of chronic peptic ulcer in children is rarely made except at operation or at necropsy. Proctor1 collected from the literature nineteen obvious cases, with two that were questionable, and added reports of three others observed at the Mayo Clinic. Another case2 was recently reported from our clinic, the diagnosis being confirmed by operation. Of the twenty-five cases now reported in the literature, five were diagnosed at necropsy, eleven at operation and nine clinically. Of the last mentioned group, several were confirmed at operation; in the other cases the patients were given medical treatment. Only five of the twenty-five cases were diagnosed at any time as duodenal ulcer. Ten cases occurred in boys and fifteen in girls.
Within the last year, three patients have been seen in the Stanford Children's Clinic, who, because of their clinical history, the roentgenologic observations and the prompt response to treatment, I