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April 30, 1938


JAMA. 1938;110(18):1491-1492. doi:10.1001/jama.1938.02790180079013

Considerable differences of opinion are apparent as to the incidence, the mortality rates and the treatment of bleeding peptic ulcer. Hurst1 found the incidence of hemorrhage in all types of peptic ulcer about 27 per cent and the mortality from the same source about 1.5 per cent in general practice. Since the incidence is 27 per cent, the mortality from hemorrhage in all cases of ulcer is about 0.4 per cent. The mortality in patients with ulcer admitted to Guy's Hospital because of hemorrhage was 4.8 per cent. The mortality from hemorrhage in patients with a history of hemorrhage is under 2.5 per cent and the mortality from hemorrhage in all cases of ulcer, including those in which bleeding never occurred, is about 1 per cent. Hurst concludes that since the total mortality as the result of all surgical procedures for gastric and duodenal ulcers is much greater than

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