OBSERVATIONS ON THE VIGOROUS DIAGNOSTIC APPROACH TO SEVERE UPPER GASTROINTESTINAL HEMORRHAGE

Abstract

Article1 June 1952OBSERVATIONS ON THE VIGOROUS DIAGNOSTIC APPROACH TO SEVERE UPPER GASTROINTESTINAL HEMORRHAGEEDDY D. PALMEREDDY D. PALMERSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-36-6-1484 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIn the military services, the diagnostic problem presented by the patient with severe upper gastrointestinal hemorrhage is as a rule somewhat more difficult than that encountered in general civilian practice, because ordinarily prior to hemorrhage the patient has been entirely well. Only occasionally is there a history of previously diagnosed abdominal disease to help the clinician locate the source of bleeding. The peace-time Armed Forces ordinarily do not retain men who are discovered to have many of the diseases which may lead to upper gastrointestinal hemorrhage, unless the defect can be cured surgically. Each case of hemorrhage must usually be...Bibliography1. BrownThieme RJET: The results of the conservative treatment of upper gastro-intestinal bleeding, Gastroenterology 14: 369-374, 1950. CrossrefGoogle Scholar2. BrownMeyersPoschDeneen JRSGJLO: Massive hemorrhage from the upper gastrointestinal tract, Arch. Surg. 61: 767-774, 1950. CrossrefGoogle Scholar3. ChaikinTuller NWT: Management of hemorrhage from the upper gastrointestinal tract, Rev. Gastroenterol. 18: 403-412, 1951. MedlineGoogle Scholar4. ChinnWeckesser ABEC: Acute hemorrhage from peptic ulceration: an analysis of 322 cases, Ann. Int. Med. 34: 339-351, 1951. LinkGoogle Scholar5. Costello C: Massive hematemesis: analysis of 300 consecutive cases, Ann. Surg. 129: 289-298, 1949. CrossrefMedlineGoogle Scholar6. 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Washington, D. C.*Received for publication October 12, 1951.From the Gastrointestinal Section, Walter Reed Army Hospital, Washington, D. C. 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