MASSIVE HEMORRHAGE FROM PEPTIC ULCER: PROGNOSIS AND TREATMENT; CONCLUSIONS DRAWN FROM A LARGE SERIES TREATED IN A MUNICIPAL HOSPITAL
Authors: H B CATES
Journal: Annals of Internal Medicine (1950)

Article1 June 1950MASSIVE HEMORRHAGE FROM PEPTIC ULCER: PROGNOSIS AND TREATMENT; CONCLUSIONS DRAWN FROM A LARGE SERIES TREATED IN A MUNICIPAL HOSPITALH. B. CATES, M.D., F.A.C.P.H. B. CATES, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-32-6-1144 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThere is such a decided variation in the degree of symptoms produced by bleeding peptic ulcers that some of those affected do not seek medical assistance, others are attended at their homes, while as a rule only those patients having massive hemorrhage are admitted to a hospital. For the latter the mortality rate is apt to be high, in spite of the fact that their clinical management is under constant supervision. The following report deals with the analysis of autopsy and clinical records of patients with massive hemorrhage from peptic ulcer. In the autopsy series the findings in 41 cases...Bibliography1. Goldman L: Gross hemorrhage from peptic ulcer, J. A. M. A. 107: 1537-1542, 1936. CrossrefGoogle Scholar2. Bohrer JV: Massive hemorrhage with special reference to peptic ulcer, Ann. Surg. 114: 510-525, 1941. CrossrefMedlineGoogle Scholar3. Hinton JW: Review of 746 gastric and duodenal ulcers, Am. J. Digest. Dis. 3: 59-62, 1936. CrossrefGoogle Scholar4. Bockus HL: Gastroenterology, 1943, vol. 1, W. B. Saunders Co., Philadelphia, p. 592. Google Scholar5. BlackfordCole JMWS: Massive hemorrhage from peptic ulcer, Am. J. Digest. Dis. 6: 637-641, 1939. CrossrefGoogle Scholar6. Allen AW: Acute massive hemorrhage from upper gastro-intestinal tract with special reference to peptic ulcer, Surgery 2: 713-731, 1937. Google Scholar7. Hurst AF: Diagnosis and treatment of gastric and duodenal ulcer, Lancet (Correspondence) 1: 1369, 1937. CrossrefGoogle Scholar8. Quoted from Baker.10 Google Scholar9. RafskyWeingarten HAA: Bleeding peptic ulcer, J. A. M. A. 118: 5-11, 1942. CrossrefGoogle Scholar10. Baker C: Bleeding peptic ulcer, Guy's Hosp. Rep. 96: 1-56, 1947. Google Scholar11. PortisJaffe SARH: A study of peptic ulcer based on necropsy records, J. A. M. A. 110: 6-13, 1938. CrossrefGoogle Scholar12. Bulmer E: Mortality from hematemesis, Lancet 2: 720-732, 1932. CrossrefGoogle Scholar13. Schiff L: Hematemesis and melena, Clinics 11: 1542-1567, 1944. Google Scholar14. Thompson HL: Hematemesis: a study of underlying causes, Gastroenterology 7: 320-331, 1946. MedlineGoogle Scholar15. MeyerSorterNecheles JHKH: Medical and surgical treatment of hemorrhage from peptic ulcer, J. A. M. A. 120: 803-810, 1942. Google Scholar16. MathewsonPinkham CRD: The surgical management of acute massive hemorrhage from peptic ulcer, Northwest Med. 45: 563-567, 1946. MedlineGoogle Scholar17. Shenkin HA: The diagnosis of hemorrhage in man, Am. J. M. Sc. 208: 421-436, 1944. CrossrefGoogle Scholar18. WallaceSharpey-Schafer JEP: Blood changes following controlled hemorrhage in man, Lancet 2: 393-395, 1941. CrossrefGoogle Scholar19. KinneyMallory TDGK: Cardiac failure associated with acute anemia, New England J. Med. 232: 215-218, 1945. CrossrefGoogle Scholar20. Stead EA: Cardiac output in congestive heart failure, Am. Heart J. 25: 529-541, 1948. CrossrefGoogle Scholar21. NobelGregersen RPMI: Blood volume in clinical shock, J. Clin. Investigation 25: 172-183, 1946. Google Scholar22. BeattieCollard JHB: Plasma protein concentration after hemorrhage, British M. J. 2: 301-304, 1942. CrossrefMedlineGoogle Scholar23. LingSprinz WSH: The volume changes and available fluid space in soldiers with chronic wound infections and associated nutritional depletion, Am. J. M. Sc. 215: 555-567, 1948. CrossrefMedlineGoogle Scholar24. LassenHusfeldt HCE: Kidney function and blood pressure, J. Clin. Investigation 13: 263-278, 1934. CrossrefMedlineGoogle Scholar25. LawsonBradleyCournand HDSEH: Renal circulation in shock, J. Clin. Investigation 23: 381-402, 1944. CrossrefMedlineGoogle Scholar26. CorcoranPage ACIH: Effects of hypotension due to hemorrhage and of blood transfusion on renal function in dogs, J. Exper. Med. 78: 205-224, 1943. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Los Angeles, California*Received for publication November 11, 1948.From the Los Angeles County Hospital, Section of Medicine, University of Southern California Medical School. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byMedical Treatment of Massive Hemorrhage from Peptic UlcerACUTE SEVERE UPPER GASTROINTESTINAL HEMORRHAGE: A REVIEW OF 195 CASES*J. RICHARD GOTT JR., M.D., F.A.C.P., EDWIN L. SMITH, M.D., DALLAS D. DORNAN, M.D.Die Krankheiten des MagensThe heart in acute hemorrhage: A clinical and electrocardiographic study 1 June 1950Volume 32, Issue 6Page: 1144-1152KeywordsAutopsyDeath ratesHemorrhageHospital medicinePeptic ulcers ePublished: 1 December 2008 Issue Published: 1 June 1950 PDF downloadLoading ...