[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
June 1953


Author Affiliations

From the Departments of Surgery, Washington University Medical School and St. Louis City Hospital.

AMA Arch Surg. 1953;66(6):818-826. doi:10.1001/archsurg.1953.01260030838013

OF SERIOUS emergencies affecting the upper intestinal tract, massive hemorrhage remains an outstanding clinical challenge, not only because of its high mortality rate but also because of prevalent controversies concerning such basic principles of management as methods of diagnosis and desirability of feeding, transfusing, and operating. In a previous communication1 the results in a series of 300 consecutive cases at the St. Louis City Hospital were presented along with a plan of management adapted to a series of 73 later cases in which improvement in mortality rate had been achieved.

This present report is based upon an experience with a total of 199 cases of massive hemorrhage from the upper intestinal tract which have been studied at the St. Louis City Hospital from 1946 to 1951, inclusively. Massive hemorrhage has been defined as an acute blood loss from the upper intestine, resulting in shock and in a fall of

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