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Indications for Emergency Operation in Bleeding Peptic Ulcer: Opening

Indications for Emergency Operation in Bleeding Peptic Ulcer: Opening Abstract Question. —In an otherwise healthy patient with an established diagnosis of bleeding peptic ulcer, what, if any, are your indications for emergency operation for hemorrhage? What if the source of bleeding has not been established? Answer. —The prima-facie indication, of course, is evidence that proper measures short of surgery have not controlled the hemorrhage. Unfortunately, there is no reliable test to determine whether or not the patient is continuing to bleed. The man of average weight may lose as much as 1,500 cc. of blood, if protected in a reclining position, without visible evidence of shock. If he is allowed to stand, or if his trunk is tilted upward, as in fluoroscopy, shock may for the first time become evident. The best treatment when bleeding is initially seen is prompt and adequate blood transfusion, while at the same time the source of bleeding is being searched for. If, after adequate http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Indications for Emergency Operation in Bleeding Peptic Ulcer: Opening

A.M.A. Archives Surgery , Volume 78 (4) – Apr 1, 1959

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Publisher
American Medical Association
Copyright
Copyright © 1959 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1959.04320040003001
Publisher site
See Article on Publisher Site

Abstract

Abstract Question. —In an otherwise healthy patient with an established diagnosis of bleeding peptic ulcer, what, if any, are your indications for emergency operation for hemorrhage? What if the source of bleeding has not been established? Answer. —The prima-facie indication, of course, is evidence that proper measures short of surgery have not controlled the hemorrhage. Unfortunately, there is no reliable test to determine whether or not the patient is continuing to bleed. The man of average weight may lose as much as 1,500 cc. of blood, if protected in a reclining position, without visible evidence of shock. If he is allowed to stand, or if his trunk is tilted upward, as in fluoroscopy, shock may for the first time become evident. The best treatment when bleeding is initially seen is prompt and adequate blood transfusion, while at the same time the source of bleeding is being searched for. If, after adequate

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Apr 1, 1959

There are no references for this article.