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July 13, 1946

MASSIVE GASTROINTESTINAL HEMORRHAGE

Author Affiliations

Assistant Professor of Medicine, Jefferson Medical College Philadelphia

From the Medical Department, Jefferson Medical College Hospital.

JAMA. 1946;131(11):891-893. doi:10.1001/jama.1946.02870280017005
Abstract

Loss of blood from the gastrointestinal tract, no matter how slight, deserves serious consideration, particularly if it is persistent. Slow and intermittent bleeding with progressive anemia can be temporized with to a certain extent while a search for the source of the loss of blood is instituted. Severe and rapid hemorrhage is a different problem entirely and constitutes a medical emergency. Proper treatment must be carried out promptly to prevent loss of life and to prevent a long and serious debility from the hemorrhage. Ill advised or poorly managed treatment too often results in a high mortality rate, which can be avoided with proper management. In recent years the mortality and morbidity from massive gastrointestinal hemorrhages have steadily declined, which is a tribute to the recognition of certain principles in the management of such cases which have been developed over the past two decades. It is generally acknowledged except in

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