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Massively Bleeding Gastroduodenal Ulcers: General Factors Influencing Incidence and Mortality

Massively Bleeding Gastroduodenal Ulcers: General Factors Influencing Incidence and Mortality Abstract Introduction Because the causes of massive hemorrhage in peptic ulcer are not always known, we analyzed the Cook County Hospital records for the 20 years from 1936 to 1955 for contributory factors. Four previous articles of this series were based on the records of 8,451 patients and discussed the general factors affecting 1,904 cases of acute gastroduodenal perforation1; the influence of certain symptoms and signs upon prognosis2; laboratory findings3; and the effects of surgery.4 As in previous reports, only those cases were accepted which showed roentgenologic, gastroscopic, operative, or necropsy evidence of a lesion. The methods used to analyze this material were the same as those described in detail in previous reports.1,2 Present Study This paper is a study of 2,008 patients, from the same hospital population sample, whose presenting problem was a massively bleeding gastroduodenal ulcer. We defined massive bleeding as (1) hematologic evidence References 1. Kozoll, D. D., and Meyer, K. A.: General Factors Influencing the Incidence and Mortality of Acute Perforated Gastroduodenal Ulcers , Surg. Gynec. Obstet. 111:607, 1960. 2. Kozoll, D. D., and Meyer, K. A.: Symptoms and Signs in the Prognosis of Gastroduodenal Ulcers , Arch. Surg. 82:528, 1961.Crossref 3. Kozoll, D. D., and Meyer, K. A.: Laboratory Findings in Acute Perforated Gastroduodenal Ulcers: A Review of 1,904 Cases , Arch. Surg. 84: 646, 1962.Crossref 4. Kozoll, D. D., and Meyer, K. A.: Effects of Surgery on Morbidity and Mortality in Acute Gastroduodenal Perforation , Amer. J. Surg. 103: 577, 1962.Crossref 5. Ivy, A. C.; Grossman, M., and Bachrach, W. H.: Peptic Ulcer , Philadelphia, The Blakiston Co., Division of McGraw-Hill Book Co., 1950. 6. Bockus, H. L.: Gastroenterology , Philadelphia, W. B. Saunders Company, 1944, Vol. I, pp. 560-610. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Massively Bleeding Gastroduodenal Ulcers: General Factors Influencing Incidence and Mortality

KOZOLL, DONALD D.; MEYER, KARL A.
Archives of Surgery , Volume 86 (3) – Mar 1, 1963
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References (7)

Publisher
American Medical Association
Copyright
Copyright © 1963 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1963.01310090095018
Publisher site
See Article on Publisher Site

Abstract

Abstract Introduction Because the causes of massive hemorrhage in peptic ulcer are not always known, we analyzed the Cook County Hospital records for the 20 years from 1936 to 1955 for contributory factors. Four previous articles of this series were based on the records of 8,451 patients and discussed the general factors affecting 1,904 cases of acute gastroduodenal perforation1; the influence of certain symptoms and signs upon prognosis2; laboratory findings3; and the effects of surgery.4 As in previous reports, only those cases were accepted which showed roentgenologic, gastroscopic, operative, or necropsy evidence of a lesion. The methods used to analyze this material were the same as those described in detail in previous reports.1,2 Present Study This paper is a study of 2,008 patients, from the same hospital population sample, whose presenting problem was a massively bleeding gastroduodenal ulcer. We defined massive bleeding as (1) hematologic evidence References 1. Kozoll, D. D., and Meyer, K. A.: General Factors Influencing the Incidence and Mortality of Acute Perforated Gastroduodenal Ulcers , Surg. Gynec. Obstet. 111:607, 1960. 2. Kozoll, D. D., and Meyer, K. A.: Symptoms and Signs in the Prognosis of Gastroduodenal Ulcers , Arch. Surg. 82:528, 1961.Crossref 3. Kozoll, D. D., and Meyer, K. A.: Laboratory Findings in Acute Perforated Gastroduodenal Ulcers: A Review of 1,904 Cases , Arch. Surg. 84: 646, 1962.Crossref 4. Kozoll, D. D., and Meyer, K. A.: Effects of Surgery on Morbidity and Mortality in Acute Gastroduodenal Perforation , Amer. J. Surg. 103: 577, 1962.Crossref 5. Ivy, A. C.; Grossman, M., and Bachrach, W. H.: Peptic Ulcer , Philadelphia, The Blakiston Co., Division of McGraw-Hill Book Co., 1950. 6. Bockus, H. L.: Gastroenterology , Philadelphia, W. B. Saunders Company, 1944, Vol. I, pp. 560-610.

Journal

Archives of Surgery – American Medical Association

Published: Mar 1, 1963

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