MASSIVE HEMORRHAGE FROM GASTRIC ULCER ERODING GALL BLADDER AND ANOMALOUS CYSTIC ARTERY

Autor: P. S. Cromer, Henry W. Mayo
Rok vydání: 1954
Předmět:
Zdroj: Archives of Surgery. 68:120
ISSN: 0004-0010
DOI: 10.1001/archsurg.1954.01260050122016
Popis: IN THE last decade, surgeons have focused their attention increasingly on the problems concerned with management of cases with severe bleeding from gastric ulcer. Stewart,1Finsterer,2and others have adopted the attitude that any patient with massive bleeding from ulcer of the stomach and duodenum should be subjected to emergency operation, while Andresen,3Meulengracht,4and their adherents prefer nonoperative therapy in all such cases. As a matter of routine, we have chosen a middle ground, feeling that each patient with massive hemorrhage from ulcer should be followed closely by both internist and surgeon, with an initial trial of conservative treatment. Like Dunphy and Hoerr,5we attempt to select early in the course of the bleeding those patients who have the so-called fatal type of hemorrhage, and to advise emergency operation for these patients only. This selection is taxing to the best clinical judgment, and the
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