There is no general agreement among internists on the question of withholding or giving food to patients with bleeding peptic ulcer. Most clinicians advocate a period of fasting, the giving of fluids and transfusions when needed and rest. Allen and Benedict1 reported 138 cases of massive hemorrhage with a mortality of 14.5 per cent. This did not, however, include gross hemorrhage of mild and moderate degree, the mortality of all patients treated for gross hemorrhage being less than 2 per cent. Goldman2 noted 40 deaths in 349 cases of gross hemorrhage, a mortality of 11.5 per cent. Eggleston3 treated 95 patients without a fatality. Hinton4 reported 52 cases, with a 20 per cent mortality; Westermann,5 50 cases with a 20 per cent mortality; Hendon,6 46 cases with a 19 per cent mortality, and Manheim,7 101 cases with an 8.9 per cent mortality for patients submitted to
LaDUE JS. TREATMENT OF MASSIVE HEMORRHAGE DUE TO PEPTIC ULCER. Arch Intern Med (Chic). 1939;63(6):1017–1029. doi:10.1001/archinte.1939.00180230002001
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