EXPERIENCES WITH THE "VIGOROUS DIAGNOSTIC APPROACH" TO UPPER GASTROINTESTINAL HEMORRHAGE
Authors: Norman M. Scott
Journal: Annals of Internal Medicine (1959)

Article1 July 1959EXPERIENCES WITH THE "VIGOROUS DIAGNOSTIC APPROACH" TO UPPER GASTROINTESTINAL HEMORRHAGENORMAN M. SCOTT JR., F.A.C.P.NORMAN M. SCOTT JR., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-51-1-89 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe unfortunate patient who is bleeding from undetected esophageal varices and is subjected to needless abdominal exploration because his doctor suspects duodenal ulcer as the cause gets little comfort from statistics. While it is perfectly true that ulcer accounts for the majority of serious upper gastrointestinal bleeding, there is ample evidence of the practical possibility of hemorrhage from other lesions.1-13 Though these may be less common statistically, they still are important numerically, and may be vital to the individual patient who has one.It may seem heretical, but the reliability of the history, past history and physical examination in pointing...Bibliography1. Palmer ED: Observations on the vigorous diagnostic approach to severe upper gastrointestinal hemorrhage, Ann. Int. Med. 36: 1484-1491, 1952. LinkGoogle Scholar2. WarthinRossBakerWissing TAFPDVE: The management of upper gastrointestinal hemorrhage, Ann. Int. Med. 39: 241-253, 1953. LinkGoogle Scholar3. Palmer ED: Diagnostic errors in severe gastrointestinal hemorrhage, U. S. Armed Forces M. J. 5: 350-356, 1954. MedlineGoogle Scholar4. BrickJeghers IBHJ: Medical progress: gastrointestinal hemorrhage (excluding peptic ulcer and esophageal varices), New England J. Med. 253: 458-466; 511-518; 555-560, 1955. CrossrefMedlineGoogle Scholar5. WelchAllenDonaldson CEAWGA: Surgical management of massive acute upper gastrointestinal hemorrhage, New England J. Med. 252: 921-928, 1955. CrossrefMedlineGoogle Scholar6. Jones FA: Hematemesis and melena: with special reference to causation and to the factors influencing the mortality from bleeding peptic ulcers, Gastroenterology 30: 166-190, 1956. CrossrefMedlineGoogle Scholar7. WeberNashGregg JMEGLA: Hemorrhage from the upper gastrointestinal tract: report of three hundred cases and discussion of treatment, J. A. M. A. 165: 1899-1905, 1957. CrossrefMedlineGoogle Scholar8. SmytheOsborneZamcheckRichardsMadison CMMPNWAWM: Bleeding from the upper gastrointestinal tract: an analysis of 111 cases, New England J. Med. 256: 441-447, 1957. CrossrefMedlineGoogle Scholar9. KnightStockJurgensen WAAEWW: Massive gastrointestinal hemorrhage, Am. J. Digest. Dis. 2: 410-419, 1957. CrossrefMedlineGoogle Scholar10. PalmerScott EDNM: Severe upper gastrointestinal hemorrhage: early use of diagnostic technics, Connecticut M. J. 19: 368, 372, 1955. MedlineGoogle Scholar11. PalmerBrick EDIB: Sources of upper gastrointestinal hemorrhage in cirrhotic patients with esophageal varices, New England J. Med. 248: 1057-1058, 1953. CrossrefMedlineGoogle Scholar12. SullivanLienhardLukeman BHWFJM: Massive hemorrhage in patients with both esophageal varices and duodenal ulcer, Gastroenterology 26: 868-877, 1954. CrossrefMedlineGoogle Scholar13. DagradiSandersStempien ADSJ: The sources of upper gastrointestinal bleeding in liver cirrhosis, Ann. Int. Med. 42: 852-855, 1955. LinkGoogle Scholar14. EnquistGliedman JFML: The sources of upper gastrointestinal bleeding in patients with cirrhosis, Surg., Gynec. and Obst. 106: 153-158, 1958. MedlineGoogle Scholar15. Hampton AO: Safe method for roentgen demonstration of bleeding duodenal ulcer, Am. J. Roentgenol. 38: 565-570, 1937. Google Scholar16. Schatzki R: Roentgenologic examination in patients with bleeding from the gastrointestinal tract, New England J. Med. 235: 783-786, 1946. CrossrefMedlineGoogle Scholar17. ZamcheckCotterHershornChalmersRitvoWhite NTPSETCMFW: Early roentgen diagnosis in massive bleeding from the upper gastrointestinal tract, Am. J. Med. 13: 713-724, 1952. CrossrefMedlineGoogle Scholar18. JacksonTuckerClerfLukensMoore CGLHRMWF: Hematemesis: a plea for objective methods of diagnosis, J. A. M. A. 85: 870-875, 1925. CrossrefGoogle Scholar19. BrownMcHardy DCG: Gastroscopy in hemorrhage of the stomach, New Orleans M. and S. J. 93: 338-341, 1941. Google Scholar20. CarvatiMacMillan CMJM: Obscure hematemesis; gastroscopy, an aid in its diagnosis, Virginia M. Monthly 74: 200-203, 1947. MedlineGoogle Scholar21. OlsenMoersch AMHJ: The role of gastroscopy in the diagnosis of upper gastrointestinal hemorrhage of obscure origin, Gastroenterology 14: 292-300, 1950. CrossrefMedlineGoogle Scholar22. CarterZamcheck MGN: Esophagoscopy in upper gastrointestinal bleeding, New England J. Med. 242: 280-283, 1950. CrossrefMedlineGoogle Scholar23. DesforgesAvesStrieder GFHJW: Esophagoscopy in esophagogastrointestinal hemorrhage, J. A. M. A. 149: 639-643, 1952. CrossrefMedlineGoogle Scholar24. Hoerr SO: Management of bleeding from the upper gastrointestinal tract, New England J. Med. 248: 404-408, 1953. CrossrefMedlineGoogle Scholar25. WirtsBodi CWT: Management of hemorrhaging gastroduodenal ulcer, J. A. M. A. 163: 1229-1234, 1957. CrossrefMedlineGoogle Scholar26. MalloryWeiss GKS: Hemorrhages from lacerations of the cardiac orifice of the stomach due to vomiting, Am. J. M. Sc. 178: 506-515, 1929. CrossrefGoogle Scholar27. ScottNewton NMDE: Mallory-Weiss syndrome: report of a case treated surgically, Am. J. Digest. Dis. 3: 464-468, 1958. CrossrefMedlineGoogle Scholar28. BrickPalmer IBED: Comparison of esophagoscopic and roentgenologic diagnosis of esophageal varices in cirrhosis of the liver, Am. J. Roentgenol., Rad. Therap. and Nucl. Med. 73: 387-389, 1955. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: MC Fort Sam Houston, Texas*Received for publication October 18, 1958.From the Gastroenterology Service, Brooke Army Hospital, Fort Sam Houston, San Antonio, Texas.Requests for reprints should be addressed to Norman M. Scott, Jr., Lt. Colonel (MC), Chief, Gastroenterology Service, Brooke Army Hospital, Brooke Army Medical CenterFort Sam Houston, Texas. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byComparison of emergent endoscopy and upper gastrointestinal series radiography in acute upper gastrointestinal haemorrhage.A comparison of routine and selective endoscopy in the management of acute gastrointestinal hemorrhageGastrointestinal Endoscopy: Current Status and Recent AdvancesKommentar The Treatment of Massive Gastroduodenal Hemorrhage: Vagotomy and PyloroplastyGastroscopySources of bleeding in upper gastrointestinal hemorrhage: A re-evaluationTHE ACCURACY OF RADIOLOGICAL EXAMINATIONS: IThe Fluorescein String Test An Analysis of Its Use and Relationship to Barium Studies of the Upper Gastrointestinal Tract in 122 Cases of Gastrointestinal Tract HemorrhageFRED E. PITTMAN, M.D.Gastrointestinal tract hemorrhageEsophagoscopy, Gastroscopy, PeritoneoscopyAbdominal Surgery 1 July 1959Volume 51, Issue 1Page: 89-98KeywordsDuodenal ulcersGastric ulcersGastroenterology and hepatologyGastrointestinal hemorrhageHemorrhageHerniaHypertensionLacerationsLymphomaUlcers ePublished: 1 December 2008 Issue Published: 1 July 1959 PDF downloadLoading ...