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INTRINSIC GASTRODUODENAL LESIONS AS CAUSATIVE FACTORS OF HEMATEMESIS

INTRINSIC GASTRODUODENAL LESIONS AS CAUSATIVE FACTORS OF HEMATEMESIS Abstract Previous study1 has revealed that intrinsic gastroduodenal lesions are responsible for approximately 90 per cent of all cases of hematemesis. Since hematemesis is usually produced by such lesions, it is justifiable to consider their diagnostic significance in detail, for an accurate diagnosis is highly desirable and is the key to eventual successful treatment. The outstanding factor of value in the differential diagnosis of such intrinsic lesions is the correlated consideration of (1) an accurately recorded and perused history and (2) laboratory studies, chiefly roentgenologic observations. Among intrinsic gastroduodenal lesions producing hematemesis, the most common are peptic ulcer and gastric carcinoma, while nonspecific inflammatory lesions, mucosal erosions, benign tumors, gastric syphilis and tuberculosis make up a small proportion of hemorrhagic lesions. This enumeration of some of the intrinsic gastroduodenal diseases producing hematemesis reveals that they are of almost equal medical and surgical significance, and, consequently, cooperative treatment is essential. It References 1. Rivers, A. B., and Wilbur, D. L.: The Diagnostic Significance of Hematemesis , J. A. M. A. 98:1629 ( (May 7) ) 1932.Crossref 2. Balfour, D. C.: Hematemesis , Tr. Coll. Phys. 44:236, 1922. 3. Miller, T. G.: Gastric Hemorrhage from the Internist's Point of View , Pennsylvania M. J. 32:237 ( (Jan.) ) 1929. 4. Bastedo, W. A.: Medical Measures Used in the Treatment of Hematemesis , Tr. Am. Gastro-Enterol. A. 30:107, 1927 5. M. J. & Rec. 126:333 ( (Sept. 21) ) 1927. 6. Hughes, Basil: Hematemesis as a Symptom of Gastric or Duodenal Ulcer , Lancet 2:1346 ( (Dec. 20) ) 1930. 7. White, W. Hale: An Address on Gastrostaxis, or Oozing of Blood from the Mucous Membrane of the Stomach , Lancet 2:1189 ( (Nov. 3) ) 1906 8. Some Forms of Haemorrhage Which Are Difficult of Explanation , White Lancet 1:416 ( (Feb. 17) ) 1912. 9. Rivers, A. B.: A Clinical Study of Duodenitis, Gastritis and Gastrojejunitis , Ann. Int. Med. 4:1265 ( (April) ) 1931. 10. Matthews, Edwin: The Clinical Significance of Hematemesis in Gastro-Intestinal Diseases , New York, Oxford University Press, 1928, p. 120. 11. Rosenow, E. C.: The Causation of Gastric and Duodenal Ulcer by Streptococci , J. Infect. Dis. 16:333 ( (Sept.) ) 1919. 12. Hinton, J. W.: Bleeding Gastric and Duodenal Ulcers: Report of Fifty-Two Cases , Ann. Surg. 93:949 ( (April) ) 1931. 13. Kirklin, B. R.: A Roentgenologic Consideration of Duodenitis , Radiology 12:377 ( (May) ) 1929. 14. Rivers, A. B., and Mason, J. B.: Cholecystoduodenal Fistula , M. Clin. North America 15:1571 ( (May) ) 1932. 15. Balfour, D. C., and Henderson, E. F.: Benign Tumors of the Stomach , Ann. Surg. 85:354 ( (March) ) 1927 16. Benign Tumors of the Duodenum , Balfour Ann. Surg. 89:30 ( (Jan.) ) 1929. 17. Rieniets, J. H.: The Frequency and Pathologic Aspects of Gastric Leiomyoma , Proc. Staff Meet., Mayo Clin. 5:364 ( (Dec. 17) ) 1930. 18. Eusterman, G. B.: Gastric Syphilis , J. A. M. A. 96:173 ( (Jan. 17) ) 1931. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

INTRINSIC GASTRODUODENAL LESIONS AS CAUSATIVE FACTORS OF HEMATEMESIS

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References (9)

Publisher
American Medical Association
Copyright
Copyright © 1932 American Medical Association. All Rights Reserved.
ISSN
0730-188X
DOI
10.1001/archinte.1932.00150170113011
Publisher site
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Abstract

Abstract Previous study1 has revealed that intrinsic gastroduodenal lesions are responsible for approximately 90 per cent of all cases of hematemesis. Since hematemesis is usually produced by such lesions, it is justifiable to consider their diagnostic significance in detail, for an accurate diagnosis is highly desirable and is the key to eventual successful treatment. The outstanding factor of value in the differential diagnosis of such intrinsic lesions is the correlated consideration of (1) an accurately recorded and perused history and (2) laboratory studies, chiefly roentgenologic observations. Among intrinsic gastroduodenal lesions producing hematemesis, the most common are peptic ulcer and gastric carcinoma, while nonspecific inflammatory lesions, mucosal erosions, benign tumors, gastric syphilis and tuberculosis make up a small proportion of hemorrhagic lesions. This enumeration of some of the intrinsic gastroduodenal diseases producing hematemesis reveals that they are of almost equal medical and surgical significance, and, consequently, cooperative treatment is essential. It References 1. Rivers, A. B., and Wilbur, D. L.: The Diagnostic Significance of Hematemesis , J. A. M. A. 98:1629 ( (May 7) ) 1932.Crossref 2. Balfour, D. C.: Hematemesis , Tr. Coll. Phys. 44:236, 1922. 3. Miller, T. G.: Gastric Hemorrhage from the Internist's Point of View , Pennsylvania M. J. 32:237 ( (Jan.) ) 1929. 4. Bastedo, W. A.: Medical Measures Used in the Treatment of Hematemesis , Tr. Am. Gastro-Enterol. A. 30:107, 1927 5. M. J. & Rec. 126:333 ( (Sept. 21) ) 1927. 6. Hughes, Basil: Hematemesis as a Symptom of Gastric or Duodenal Ulcer , Lancet 2:1346 ( (Dec. 20) ) 1930. 7. White, W. Hale: An Address on Gastrostaxis, or Oozing of Blood from the Mucous Membrane of the Stomach , Lancet 2:1189 ( (Nov. 3) ) 1906 8. Some Forms of Haemorrhage Which Are Difficult of Explanation , White Lancet 1:416 ( (Feb. 17) ) 1912. 9. Rivers, A. B.: A Clinical Study of Duodenitis, Gastritis and Gastrojejunitis , Ann. Int. Med. 4:1265 ( (April) ) 1931. 10. Matthews, Edwin: The Clinical Significance of Hematemesis in Gastro-Intestinal Diseases , New York, Oxford University Press, 1928, p. 120. 11. Rosenow, E. C.: The Causation of Gastric and Duodenal Ulcer by Streptococci , J. Infect. Dis. 16:333 ( (Sept.) ) 1919. 12. Hinton, J. W.: Bleeding Gastric and Duodenal Ulcers: Report of Fifty-Two Cases , Ann. Surg. 93:949 ( (April) ) 1931. 13. Kirklin, B. R.: A Roentgenologic Consideration of Duodenitis , Radiology 12:377 ( (May) ) 1929. 14. Rivers, A. B., and Mason, J. B.: Cholecystoduodenal Fistula , M. Clin. North America 15:1571 ( (May) ) 1932. 15. Balfour, D. C., and Henderson, E. F.: Benign Tumors of the Stomach , Ann. Surg. 85:354 ( (March) ) 1927 16. Benign Tumors of the Duodenum , Balfour Ann. Surg. 89:30 ( (Jan.) ) 1929. 17. Rieniets, J. H.: The Frequency and Pathologic Aspects of Gastric Leiomyoma , Proc. Staff Meet., Mayo Clin. 5:364 ( (Dec. 17) ) 1930. 18. Eusterman, G. B.: Gastric Syphilis , J. A. M. A. 96:173 ( (Jan. 17) ) 1931.

Journal

Archives of Internal Medicine – American Medical Association

Published: Oct 1, 1932

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