THE MANAGEMENT OF UPPER GASTROINTESTINAL HEMORRHAGE
Authors: T A WARTHIN, F P ROSS, D V BAKER, E WISSING
Journal: Annals of Internal Medicine (1953)

Article1 August 1953THE MANAGEMENT OF UPPER GASTROINTESTINAL HEMORRHAGETHOMAS A. WARTHIN, F.A.C.P., FREDERICK P. ROSS, F.A.C.S., DONALD V. BAKER JR., F.A.C.S., EGON WISSING, M.D.THOMAS A. WARTHIN, F.A.C.P.Search for more papers by this author, FREDERICK P. ROSS, F.A.C.S.Search for more papers by this author, DONALD V. BAKER JR., F.A.C.S.Search for more papers by this author, EGON WISSING, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-39-2-241 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe more frequent occurrence of upper gastrointestinal bleeding during the past decade has produced a great many papers on the management of this emergency. There have been and still are many proponents of pure, conservative medical management of these patients. Likewise, our surgical colleagues have enthusiastically plied us with statistics apparently showing the superiority of surgical treatment, supplemented by such slogans as "eventually, why not now." Yet both means of therapy have resulted in mortality rates for bleeding peptic ulcer which usually exceed 5 per cent, the maximum acceptable today. It may well be true that in unusual instances a...Bibliography1. Crohn BB: Need for aggressive therapy in massive upper gastrointestinal hemorrhage, J. A. M. A. 151: 625-629, 1953. MedlineGoogle Scholar2. WarthinWarrenWissing TAREG: Combined medical and surgical management of upper gastrointestinal hemorrhage, New England J. Med. 241: 473-478, 1949. CrossrefMedlineGoogle Scholar3. Schatzki R: Roentgenologic examination in patients with bleeding from gastrointestinal tract, New England J. Med. 235: 783-786, 1946. CrossrefMedlineGoogle Scholar4. ZamcheckCotterHershornChalmersRitvoWhite NTPSETCMFW: Early roentgen diagnosis in massive bleeding from the upper gastrointestinal tract, Am. J. Med. 13: 713-724, 1952. CrossrefMedlineGoogle Scholar5. CooperFerguson DRLK: Gastric resection for upper gastrointestinal hemorrhage of undetermined cause, J. A. M. A. 151: 879-884, 1953. MedlineGoogle Scholar6. WarrenLanman RTH: Surgery in bleeding peptic ulcer: urgent operation and principle of exclusion, Surg., Gynec. and Obst. 87: 291-298, 1948. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Presented at the Thirty-fourth Annual Session of the American College of Physicians, Atlantic City, New Jersey, April 15, 1953.From Veterans Administration Hospital, Boston, Massachusetts. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byThe endoscopic diagnosis of upper-gastrointestinal hemorrhageEndoscopy in upper gastrointestinal bleeding then and nowEmergency Esophagoscopy in the Diagnosis of Upper Gastrointestinal HemorrhageFactors Affecting the Mortality from Peptic UlcerSources of bleeding in upper gastrointestinal hemorrhage: A re-evaluationFactors influencing mortality in bleeding peptic ulcerFactors influencing mortality in bleeding peptic ulcerProgram for management of massive upper gastrointestinal hemorrhageEXPERIENCES WITH THE "VIGOROUS DIAGNOSTIC APPROACH" TO UPPER GASTROINTESTINAL HEMORRHAGE*NORMAN M. SCOTT JR., F.A.C.P.Hematemesis and MelenaBleeding from the Upper Gastrointestinal TractFollow-Up Observations on Patients with Upper Gastrointestinal Hemorrhage of Undetermined EtiologyStudy of Autotetraploid Cajanus Cajan (Linn.) Millsp.Hemorrhage in Pulmonary Tuberculosis as a Surgical EmergencyGastrointestinal Hemorrhage (Excluding Peptic Ulcer and Esophageal Varices)Massive Hemorrhage in Patients with both Esophageal Varices and Duodenal Ulcer 1 August 1953Volume 39, Issue 2Page: 241-253KeywordsDeath ratesGastrointestinal hemorrhageHemorrhagePeptic ulcers Issue Published: 1 August 1953 PDF downloadLoading ...