Summary
Eighty cases of bleeding peptic ulcer have been treated in the Evanston Hospital in the ten year period 1928 to 1937, inclusive, with a mortality of 2.5 per cent. Eight had had previous operations for ulcer.
Two patients operated upon subsequently in other hospitals because of recurrent hemorrhage died. Six patients have died of causes other than ulcer. An analysis of the hospital records of this series of cases bears testimony to the value of medical management, and indicates that medical treatment is the treatment of choice unless repeated hemorrhages occur and the ulcer is of the penetrating or perforating type. An evaluation of variations employed in dietary management indicates that the early use of a relatively liberal and balanced diet, as compared with the routine fasting and the inadequate diet permitted by the standard Sippy regimen, is beneficial in shortening the time of bleeding and in favoring healing.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Editorial,J. A. M. A., 110:18–1491, April, 1938.
Noth and Wilbur: Diagnosis and Treatment of Gastro-Intestinal Hemorrhage. Proceedings of the Staff of the Mayo Clinic, 10:824, 1935.
Abrahams, Taylor and Bennett: Discussion on Hematemesis. Proceedings of the Royal Society of Medicine, 27:1521, 1934.
Goldman: Gross Hemorrhage from Peptic Ulcer.J. A. M. A., 107:19–1537, 1936.
Eliason and Ebeling: Catastrophes of Peptic Ulcer.Am. J. of Surg., 24–63, April, 1934.
Gordon-Taylor: The Problem of Bleeding Peptic Ulcer.British J. of Surg., xxv:98–403, Oct., 1937.
Cheesman: Mortality of Severe Hemorrhage from Peptic Ulcer.Lancet, 2–722.
Aitken, R. S.: Treatment of Profuse Bleeding from the Stomach and Duodenum.Lancet, 1–839, 1934.
Lahey: Treatment of Bleeding Duodenal Ulcer.Surgical Clinics of North America, 17:3–687, June, 1937.
Meulengracht: Treatment of Hematemesis and Melena with Food.Lancet, ccxxix:1220, 1935.
Crossan: Treatment of Bleeding Peptic Ulcer.Surgical Clinics of North America, 16:2–461, April, 1936.
Balfour: Surgical Treatment of Hemorrhage from Ulcer. Proceedings of the Staff of the Mayo Clinic, 10:826, 1935.
Cave: Gastro-Intestinal Hemorrhage.J. of the Canadian Med. Asso. M. A. J., 38:2–151, Feb., 1938.
Schiodt: Blood Regeneration in Patients with Hematemesis or Melena from Peptic Ulcer. Treatment with the Usual Ulcer Cure and with the Meulengracht Treatment.Am. J. of Med. Sci., 192–163, 1936.
Portnoy and Wilkinson: Vitamin C Deficiency in Peptic Ulcers and Hematemesis.British Med. J., 3–12, 1938.
Bourne: Vitamin C Deficiency in Peptic Ulcers. Estimation by Capillary Resistance Test.British Med. J., 3–12, 1938.
Wilbur: Factors which Influence the Generation of Blood Following Hemorrhage from Peptic Ulcer.Am. J. of Dig. Dis., 5:2–125, April, 1938.
Author information
Authors and Affiliations
Additional information
From the Medical Service of the Evanston Hospital and the Department of Medicine, Northwestern University Medical School.
Rights and permissions
About this article
Cite this article
Turnbull, G.C., Sagi, J.H. Bleeding peptic ulcer (A Report of Eighty Cases). American Journal of Digestive Diseases 6, 92–96 (1939). https://doi.org/10.1007/BF03007925
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF03007925