February 16, 1907


JAMA. 1907;XLVIII(7):615-616. doi:10.1001/jama.1907.02520330057009

Hematemesis may be the result of a variety of conditions, the most common of which is gastric ulcer. In a certain number of cases of profuse hemorrhage from the stomach no lesion is discoverable at operation or at autopsy. By some this form of bleeding has been supposed to be vicarious, at times taking the place of menstruation or of hemorrhoidal discharge. In the opinion of Dr. W. Hale White,1 who discusses the entire question at considerable length, the hemorrhage under the circumstances mentioned is due to the oozing of blood from the mucous membrane of the stomach or duodenum. He has adopted the term gastrostaxis as descriptive of the disorder, in analogy with epistaxis. White has succeeded in collecting twenty-two cases of the kind from the literature, including two of his own, and to these he adds reports of seven previously unpublished cases. Only such cases are included

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