Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

IMPORTANCE OF HIDDEN "PLUS VALUES" IN EMERGENCY RESECTION FOR GASTRIC HEMORRHAGE

IMPORTANCE OF HIDDEN "PLUS VALUES" IN EMERGENCY RESECTION FOR GASTRIC HEMORRHAGE The patient with severe hemorrhage from the upper gastrointestinal tract presents an urgent and difficult problem, especially as to the choice between conservative medical and direct surgical measures. The authors believe that there is justification for prompt laparotomy when the bleeding is massive, and they recommend that subtotal distal gastric resection be carried out even if exploration fails to locate the source. This operation was done in 21 patients, and in 5 no abnormality of esophagus, stomach, small intestine, or liver could be found. As a group, these 21 patients had the advantage of prompt definitive surgery instead of delay and can face the future with relative certainty that they will be free from subsequent ulcer formation and hemorrhage. A careful diagnostic program is assumed to precede such intervention. There were two deaths in this series. The mortality compares favorably with that reported for similar cases managed conservatively. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

IMPORTANCE OF HIDDEN "PLUS VALUES" IN EMERGENCY RESECTION FOR GASTRIC HEMORRHAGE

JAMA , Volume 170 (8) – Jun 20, 1959

Loading next page...
 
/lp/american-medical-association/importance-of-hidden-plus-values-in-emergency-resection-for-gastric-q15LlNTNY8
Publisher
American Medical Association
Copyright
Copyright © 1959 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1959.03010080038006
Publisher site
See Article on Publisher Site

Abstract

The patient with severe hemorrhage from the upper gastrointestinal tract presents an urgent and difficult problem, especially as to the choice between conservative medical and direct surgical measures. The authors believe that there is justification for prompt laparotomy when the bleeding is massive, and they recommend that subtotal distal gastric resection be carried out even if exploration fails to locate the source. This operation was done in 21 patients, and in 5 no abnormality of esophagus, stomach, small intestine, or liver could be found. As a group, these 21 patients had the advantage of prompt definitive surgery instead of delay and can face the future with relative certainty that they will be free from subsequent ulcer formation and hemorrhage. A careful diagnostic program is assumed to precede such intervention. There were two deaths in this series. The mortality compares favorably with that reported for similar cases managed conservatively.

Journal

JAMAAmerican Medical Association

Published: Jun 20, 1959

There are no references for this article.