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February 1958

Recurrence of Hemorrhage from Medically Treated Gastric Ulcers: Four- to Eight-Year Follow-Up of Forty-Seven Patients

AMA Arch Intern Med. 1958;101(2):369-376. doi:10.1001/archinte.1958.00260140201030

The frequency of recurrence of gastric ulcer during medical management has been reported by several investigators to range from 40% to 85% in patients followed for five years.1-8 Few data are available concerning the frequency of recurrent hemorrhage from gastric ulcer. Swynnerton and Tanner 3 reported that 139 of 498 selected patients followed for 5 to 12 years had hematemesis or melena during the course of the disease. Flood and Hennig4 reported gross hemorrhage in 38 of 101 patients, and 13 of these (33%) bled again within the 1- to 12-year follow-up period.

Of 47 patients seen at the Boston City Hospital who bled from a benign gastric ulcer and were treated medically, only 3 bled again during the following four to eight years. Included in this study are nine patients who refused gastric surgery when it was recommended. This low incidence of recurrent bleeding differed so markedly

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