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Gastrointestinal Bleeding of Unknown Origin: A Study of Cases in Infancy and Childhood

Gastrointestinal Bleeding of Unknown Origin: A Study of Cases in Infancy and Childhood Abstract Some years ago we studied and reported a series of 428 cases of gastrointestinal bleeding in infancy and childhood from the Childrens Hospital of Los Angeles.3 Of special interest in that series was the diagnosis and management of the "primary bleeder"—that is, the patient in whom the gastrointestinal hemorrhage was continuously- the primary and leading complaint, in contradistinction to those patients in whom the bleeding occurred as an incidental feature of some other well-delineated disease or syndrome. These cases of primary gastrointestinal hemorrhage numbered 171 (40% of the series) and were found to be due to a variety of causes, the most important of which were oesophageal varices (17), peptic ulcer (11), polyps of colon (40), Meckel's diverticulum (27), enterocolitis and ulcerative colitis (24), and unknown (25). Since the clinical diagnosis of bleeding Meckel's diverticulum cannot usually be made by roentgenographic or laboratory methods currently available, it has become References 1. Alexander, F. K.: Peptic Ulcer in Children , AMA Arch Surg 70:935-941, 1955.Crossref 2. Benson, C. D., and Lloyd, J. R.: Pediatric Surgery , Chicago: Year Book Medical Publishers, 1962, vol 2, pp 675-677. 3. Brayton, D., and Norris, W. J.: Gastrointestinal Hemorrhage in Infancy and Childhood , JAMA 150:668-671, 1952.Crossref 4. Bruce, J., and Dudley, H. A. F.: Gastrectomy for Massive Gastrointestinal Hemorrhage of Unknown Cause , Lancet 2:992-994, 1959.Crossref 5. Green, T. H., Jr., and Hendron, W. H.: Subtotal Gastrectomy for Bleeding Duodenal Ulcer in Childhood , New Eng J Med 262:118-122, 1960.Crossref 6. Harkins, H. W., and Nyhus, L. M.: Surgery of the Stomach and Duodenum , Boston: Little, Brown and Co., 1962, pp 613-639. 7. Leix, F., and Greaney, E. M., Jr.: Surgical Experience With Peptic Ulcer in Infancy and Childhood , Amer J Surg 106:173-184, 1963.Crossref 8. McAleese, J. J., and Seiber, W. K.: Surgical Problem Presented by Ulcer of the Stomach and Duodenum in Infancy and Childhood , Ann Surg 137:334-341, 1953.Crossref 9. Muggio, A., and Spiro, H. M.: Childhood Peptic Ulcer , Gastroenterology 37:715-724, 1959. 10. Schuster, S. R., and Gross, R. E.: Peptic Ulcer Disease in Childhood , Amer J Surg 105:324-332, 1963.Crossref 11. Thieme, E. T.: Empiric Use of Gastric Resection in the Treatment of Upper Gastrointestinal Haemorrhage , Surgery 35:56-61, 1954. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Gastrointestinal Bleeding of Unknown Origin: A Study of Cases in Infancy and Childhood

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References (11)

Publisher
American Medical Association
Copyright
Copyright © 1964 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1964.02080060290012
Publisher site
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Abstract

Abstract Some years ago we studied and reported a series of 428 cases of gastrointestinal bleeding in infancy and childhood from the Childrens Hospital of Los Angeles.3 Of special interest in that series was the diagnosis and management of the "primary bleeder"—that is, the patient in whom the gastrointestinal hemorrhage was continuously- the primary and leading complaint, in contradistinction to those patients in whom the bleeding occurred as an incidental feature of some other well-delineated disease or syndrome. These cases of primary gastrointestinal hemorrhage numbered 171 (40% of the series) and were found to be due to a variety of causes, the most important of which were oesophageal varices (17), peptic ulcer (11), polyps of colon (40), Meckel's diverticulum (27), enterocolitis and ulcerative colitis (24), and unknown (25). Since the clinical diagnosis of bleeding Meckel's diverticulum cannot usually be made by roentgenographic or laboratory methods currently available, it has become References 1. Alexander, F. K.: Peptic Ulcer in Children , AMA Arch Surg 70:935-941, 1955.Crossref 2. Benson, C. D., and Lloyd, J. R.: Pediatric Surgery , Chicago: Year Book Medical Publishers, 1962, vol 2, pp 675-677. 3. Brayton, D., and Norris, W. J.: Gastrointestinal Hemorrhage in Infancy and Childhood , JAMA 150:668-671, 1952.Crossref 4. Bruce, J., and Dudley, H. A. F.: Gastrectomy for Massive Gastrointestinal Hemorrhage of Unknown Cause , Lancet 2:992-994, 1959.Crossref 5. Green, T. H., Jr., and Hendron, W. H.: Subtotal Gastrectomy for Bleeding Duodenal Ulcer in Childhood , New Eng J Med 262:118-122, 1960.Crossref 6. Harkins, H. W., and Nyhus, L. M.: Surgery of the Stomach and Duodenum , Boston: Little, Brown and Co., 1962, pp 613-639. 7. Leix, F., and Greaney, E. M., Jr.: Surgical Experience With Peptic Ulcer in Infancy and Childhood , Amer J Surg 106:173-184, 1963.Crossref 8. McAleese, J. J., and Seiber, W. K.: Surgical Problem Presented by Ulcer of the Stomach and Duodenum in Infancy and Childhood , Ann Surg 137:334-341, 1953.Crossref 9. Muggio, A., and Spiro, H. M.: Childhood Peptic Ulcer , Gastroenterology 37:715-724, 1959. 10. Schuster, S. R., and Gross, R. E.: Peptic Ulcer Disease in Childhood , Amer J Surg 105:324-332, 1963.Crossref 11. Thieme, E. T.: Empiric Use of Gastric Resection in the Treatment of Upper Gastrointestinal Haemorrhage , Surgery 35:56-61, 1954.

Journal

American Journal of Diseases of Children – American Medical Association

Published: Mar 1, 1964

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