ACUTE HEMORRHAGE FROM PEPTIC ULCERATION: AN ANALYSIS OF 322 CASES
Authors: A B CHINN, E C WECKESSER
Journal: Annals of Internal Medicine (1951)

Article1 February 1951ACUTE HEMORRHAGE FROM PEPTIC ULCERATION: AN ANALYSIS OF 322 CASESAUSTIN B. CHINN, M.D., F.A.C.P., ELDEN C. WECKESSER, M.D., F.A.C.S.AUSTIN B. CHINN, M.D., F.A.C.P.Search for more papers by this author, ELDEN C. WECKESSER, M.D., F.A.C.S.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-34-2-339 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAcute hemorrhage is the most common serious complication of gastro-duodenal ulceration. Its incidence among those patients hospitalized for peptic ulcer is reported to be from 9 to 38 per cent.1, 11 However, despite the frequency of the condition and the attention it has attracted, there is no universally accepted principle of management, and its lowest possible mortality has not been clearly established.In more recent years, utilization of better diagnostic measures, larger amounts of blood for replacement, more careful attention to nutrition, and advances in surgical technics have somewhat modified the seriousness of the condition. Though employment of all these...Bibliography1. Lewison EF: Bleeding peptic ulcer, Arch. Surg. 59: 37-56, 1949. CrossrefMedlineGoogle Scholar2. WilkinsonTracey SAML: The history of hemorrhage in peptic ulcer, Gastroenterology 7: 450-455, 1946. MedlineGoogle Scholar3. CrohnLerner BBHH: Gross hemorrhage as a complication of peptic ulcer, Am. J. Digest Dis. 6: 15-22, 1939. CrossrefGoogle Scholar4. WarrenLanman RTH: Surgery in bleeding peptic ulcer; urgent operation and the principle of exclusion, Surg., Gynec. and Obst. 87: 291-298, 1948. MedlineGoogle Scholar5. Jones FA: Haematemesis and melaena with special reference to bleeding peptic ulcer, Brit. M. J. 2: 441-446, 1947. CrossrefMedlineGoogle Scholar6. Gray SJ: The management of patients with massive hemorrhage from peptic ulcer, M. Clin. North America 31: 1121-1134, 1947. CrossrefMedlineGoogle Scholar7. BlackfordWilliams JMRH: Fatal hemorrhage from peptic ulcer; 116 cases collected from vital statistics of Seattle during years 1935-1939 inclusive, J. A. M. A. 115: 1774-1776, 1940. CrossrefGoogle Scholar8. AllenBenedict AWEB: Acute massive bleeding from duodenal ulcer, Ann. Surg. 98: 736-749, 1933. CrossrefMedlineGoogle Scholar9. Welch CE: Treatment of acute, massive gastro-duodenal hemorrhage, J. A. M. A. 141: 1113-1119, 1949. CrossrefMedlineGoogle Scholar10. Eads JT: Massive gastrointestinal hemorrhage, J. A. M. A. 131: 891-893, 1946. CrossrefMedlineGoogle Scholar11. Goldman L: Gross hemorrhage from peptic ulcer; its morbidity, mortality and treatment, J. A. M. A. 107: 1537-1542, 1936. CrossrefGoogle Scholar12. BrowneMcHardy DCG: Management of peptic ulcer hemorrhage, Am. J. Digest. Dis. 6: 87-92, 1939. CrossrefGoogle Scholar13. Heuer GJ: The surgical aspects of hemorrhage from peptic ulcer, New England J. Med. 235: 777-783, 1946. CrossrefMedlineGoogle Scholar14. MillerElson TGKA: The management of massive hemorrhage from peptic ulcer, M. Clin. North America 22: 1711-1733, 1938. CrossrefGoogle Scholar15. Finsterer H: Operative treatment of severe gastric hemorrhage of ulcer origin, Lancet 2: 303-305, 1936. CrossrefGoogle Scholar16. Allen AW: Acute massive hemorrhage from the upper gastrointestinal tract, Surgery 2: 713-731, 1937. Google Scholar17. Costello C: Massive hematemesis: analysis of 300 consecutive cases, Ann. Surg. 129: 289-298, 1949. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Cleveland, Ohio*Received for publication March 31, 1950.From the Departments of Medicine and Surgery, Western Reserve University and University Hospitals. 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PALMERThe Modern Treatment of Massive Hemorrhage of Peptic Ulcer Origin 1 February 1951Volume 34, Issue 2Page: 339-351KeywordsBloodGastroenterology and hepatologyHemorrhageHospital medicineMortalityNutritionPeptic ulcersSurgery Issue Published: 1 February 1951 PDF downloadLoading ...