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October 17, 1977

Current Management of Acute Gastrointestinal Hemorrhage

Author Affiliations

Schooley's Mountain, NJ

JAMA. 1977;238(16):1768. doi:10.1001/jama.1977.03280170062040

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This is a brief, rather superficial review of upper gastrointestinal bleeding, with some mention of lower tract bleeding. The coverage is spotty. Pathology is presented as a series of photographs of gross specimens. The chapter on barium studies, likewise, is composed of a large group of films illustrating lesions of the tract, including those with a bleeding potential and those without. The chapter on ulcer disease is concerned mainly with the pathophysiology of the crater.

The reader will have trouble with some of the teachings, such as the statements that when there is esophagitis there invariably is a hiatus hernia, and that ulcers develop from erosions. (Forgive us, Konjetzny!)

Wilson's chapter on arteriography is excellent, well worth review by all gastroenterologists and general surgeons. It is full of excellent detail and good sense.