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December 1958

Emergency Surgery for Severe Upper Gastrointestinal HemorrhageAn Analysis of Sixty-Four Cases

Author Affiliations

U. S. Army
Resident, General Surgery (Major Switzer); Chief, Department of Surgery (Colonel Nichol), Brooke Army Hospital, Brooke Army Medical Center, Fort Sam Houston, Texas.

AMA Arch Surg. 1958;77(6):843-850. doi:10.1001/archsurg.1958.01290050013003

Introduction  This report considers only those patients who were operated upon as emergencies because of severe upper gastrointestinal bleeding. The case series was accumulated in the years 1950 through 1957, at a large Army hospital and includes active-duty military personnel and their dependents, retired military personnel, and Veterans' Administration beneficiaries. Not included are the many patients whose bleeding ceased with conservative treatment or those persons who were operated upon electively after a bleeding episode.Since management of this type of bleeding problem varies in different centers, the approach employed at this hospital is described, in addition to the indications for surgical intervention, details of the surgical procedures employed, and the results obtained by surgery.

Combined Medical-Surgical Approach to Upper Gastrointestinal Bleeding  A combined medical-surgical evaluation of this type of bleeding has been advocated, practiced, and reported previously.1,5,8 At this center such a program has been in effect for several years,

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