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Article
January 1940

SEVERE HEMORRHAGE IN GASTRIC AND IN DUODENAL ULCERA STUDY OF NINETY CASES

Author Affiliations

NEW YORK
From the Department of Surgery, the New York Hospital, and Cornell University Medical College.

Arch Surg. 1940;40(1):150-160. doi:10.1001/archsurg.1940.04080010153015
Abstract

In the past decade much has been written concerning the treatment of peptic ulcer which shows evidence of gross bleeding. During this period many physicians and surgeons have come to respect bleeding as a major complication of ulcer but as yet no uniformly accepted method of treatment has been established. Recently Meulengracht1 published a report on a group of cases of bleeding peptic ulcer in which remarkably good results were obtained by treatment with a full purée diet. His conclusions favor a passive attitude toward this complication, and it is natural that physicians should welcome so simple a method of managing a condition which, with a great variety of treatments, has a mortality reported as ranging from 1 to 35 per cent.

This paper is an analysis of the observations on a group of 90 patients with bleeding ulcer. In general, these observations lead one to believe that a

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