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Article
September 1973

Massive Gastrointestinal BleedingA Panel by Correspondence

Author Affiliations

San Francisco; Los Angeles; Salt Lake City; Boston
Edited by J. Englebert Dunphy, MD, Chairman, Department of Surgery, University of California at San Francisco.; Members of the panel: William P. Mikkelsen, MD, Chairman, Department of Surgery, Hospital of the Good Samaritan, Los Angeles; Frank G. Moody, MD, Surgeon-in-Chief, University Hospital, University of Utah Medical Center, Salt Lake City; William Silen, MD, Surgeon-in-Chief, Beth Israel Hospital, Boston.

Arch Surg. 1973;107(3):367-372. doi:10.1001/archsurg.1973.01350210005004
Abstract

This is another in a series of panels by correspondence being published by the Archives. A guest chairman invites three experts to write independent answers to a series of questions touching on everyday controversial problems in a particular area. The Archives is grateful to the distinguished surgeons who have participated in this panel on massive gastrointestinal bleeding. Although the questions have all been answered by mail, Dr. Dunphy has been able to create the atmosphere of a live panel discussion.

Dr. Dunphy: In this panel discussion we shall explore the most common causes of massive gastrointestinal hemorrhage and attempt to define areas of agreement on their recognition and treatment. Let me first ask the panel what they consider the five most common causes of massive upper gastrointestinal tract hemorrhage.

Dr. Moody: I would list in order (1) duodenal ulcer, (2) alcoholic gastritis, gastric ulcer, (4) esophageal varices, and (5) Mallory-Weiss

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