[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.147.196.37. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
June 1950

MASSIVE HEMORRHAGE FROM PEPTIC ULCER

Author Affiliations

NEW YORK
From the Department of Surgery, Presbyterian Hospital.

Arch Surg. 1950;60(6):1076-1092. doi:10.1001/archsurg.1950.01250011101005
Abstract

THE MANAGEMENT of patients with gross bleeding1 from the upper gastrointestinal tract has become a subject of renewed interest. It is difficult to obtain facts from the literature on this subject, because such hemorrhage can be of all degrees of severity and can occur from a variety of lesions and in various manners. Comparison of reports from different authors is therefore difficult. Yet it is obvious that a change is taking place among the members of the medical profession in their view of how these patients should be managed. There is also an encouraging trend of improvement in results.

SOURCE OF BLEEDING  Costello2 reported on 300 patients who vomited gross blood and had evidence of shock or anemia or both. Of these, 69.3 per cent bled from peptic ulcer, an additional 18 per cent from acute or chronic gastritis and 1.3 per cent from gastric carcinoma, a total

First Page Preview View Large
First page PDF preview
First page PDF preview
×