January 30, 1978

Gastrointestinal Bleeding: Diagnosis and Management

Author Affiliations

Gundersen Clinic, Ltd La Crosse, Wis


by John A. Balint, I. James Sarfeh, and Martin B. Fried, 101 pp, with illus, $14, New York, Wiley, 1977.

JAMA. 1978;239(5):442. doi:10.1001/jama.1978.03280320058028

The management of gastrointestinal (GI) bleeding is one of the more common medical emergencies, the successful outcome of which depends on close collaboration between several specialty groups, and for this reason a protocol for management is desirable for any medical facility. The authors of this monograph, the first of a planned series entitled "Clinical Gastroenterology," present in a succinct fashion such protocols, with supporting discussion and annotation for the management of overt GI bleeding, either upper or lower, as well as occult GI bleeding. In other chapters they outline their approach for specific disease entities such as peptic ulcer and varices. A separate chapter is devoted to a discussion of shock. All are presented in an easily readable style, and the bibliography is reasonably current and complete.

As the authors admit, the management of such bleeding is perhaps more art than science. It will, therefore, be subject to individual artistic