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September 1973

Massive Gastrointestinal Bleeding: A Panel by Correspondence

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

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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