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David P. Girvan, MD; Ronald B. Passi, MD

AMA Arch Surg. 1971;103(2):116-121.

Abstract
Nine hundred and eighty patients presented with upper-gastrointestinal tract bleeding or perforation in a ten-year period. Thirty patients satisfied the criteria of having acute stress ulceration. Gastric and duodenal ulceration were found with equal frequency but gastric ulceration was more likely to be multiple. Sepsis occurred in 53% of these patients and is thought to be a significant factor. Surgically treated patients had a survival of 64% while nonoperative patients had a 5% survival. Early operative management is recommended to improve survival. Gastrectomy with vagotomy is recommended as the procedure of choice for bleeding acute stress ulceration while omental patching of a perforation is recommended.

Author Affiliations
London, Ontario, Canada

From the Department of Surgery, University of Western Ontario, Victoria Hospital, London, Canada.

Footnotes
Accepted for publication March 30, 1971.

Read before the 28th annual meeting of the Central Surgical Association, Minneapolis, March 4, 1971.

Reprint requests to Department of Surgery, Victoria Hospital, London 15, Ontario, Canada (Dr. Passi).

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