ACUTE SEVERE UPPER GASTROINTESTINAL HEMORRHAGE: A REVIEW OF 195 CASES
Authors: J R GOTT, E L SMITH, D D DORNAN
Journal: Annals of Internal Medicine (1952)

Article1 April 1952ACUTE SEVERE UPPER GASTROINTESTINAL HEMORRHAGE: A REVIEW OF 195 CASESJ. RICHARD GOTT JR., M.D., F.A.C.P., EDWIN L. SMITH, M.D., DALLAS D. DORNAN, M.D.J. RICHARD GOTT JR., M.D., F.A.C.P.Search for more papers by this author, EDWIN L. SMITH, M.D.Search for more papers by this author, DALLAS D. DORNAN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-36-4-1001 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAcute upper gastrointestinal hemorrhage is a medical emergency, the proper management of which has been the subject of much controversy. For many years it was believed that the patient should be placed at bed-rest, be given nothing by mouth, and receive no intravenous fluid or blood. The starvation régime was to rest the stomach, and the withholding of intravenous fluids was to prevent an increase in the blood pressure with the possibility of blowing out the clot. In some cases, intubation was done in order to aspirate the acid secretions which might digest the clot. After a period of starvation...Bibliography1. Manheim SD: The incidence and prognosis of hemorrhage as a complication of gastrointestinal ulcer, M. J. and Rec. 124: 98, 1926. Google Scholar2. Chiesman WE: Mortality of severe hemorrhage from peptic ulcers, Lancet 2: 722, 1932. CrossrefGoogle Scholar3. Lenhartz H: Eine neue Behandlung des Ulcus ventriculi, Deutsche med. Wchnschr. 30: 412, 1904. Google Scholar4. Andresen AF: The treatment of gastric hemorrhage, J. A. M. A. 89: 1397 (Oct. 22) 1927. CrossrefGoogle Scholar5. Andresen AF: Results of treatment of massive gastric hemorrhage, Am. J. Digest. Dis. 6: 641, 1939. CrossrefGoogle Scholar6. 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Lawson HC: The measurement of bleeding volume in the dog for studies on blood substitutes, Am. J. Physiol. 140: 420, 1943. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: J. RICHARD GOTTJR., M.D., F.A.C.P.; EDWIN L. SMITH, M.D.; DALLAS D. DORNAN, M.D.Affiliations: Louisville, Kentucky*Received for publication July 30, 1951.Sponsored by the Veterans Administration and published with the approval of the Chief Medical Director. The statements and conclusions published by the authors are a result of their own study and do not necessarily reflect the opinion or policy of the Veterans Administration.From the Medical Service of the Veterans Administration Hospital, Louisville, Kentucky, and the Department of Medicine, University of Louisville School of Medicine. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited bySecondary hæmorrhage complicating gastrectomyThe 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.Diagnostic Aids in Localizing the Site of Upper Gastrointestinal HemorrhageProgram for management of massive upper gastrointestinal hemorrhageFollow-Up Observations on Patients with Upper Gastrointestinal Hemorrhage of Undetermined EtiologyGastrointestinal Hemorrhage (Excluding Peptic Ulcer and Esophageal Varices) 1 April 1952Volume 36, Issue 4 Page: 1001-1016 Keywords Blood Blood pressure Gastrointestinal hemorrhage Hospital medicine Intubation Medical services Mouth Starvation Stomach ePublished: 1 December 2008 Issue Published: 1 April 1952 PDF downloadLoading ...