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MELVIN P. OSBORNE, M.D.; J. ENGLEBERT DUNPHY, M.D.

AMA Arch Surg. 1957;75(6):964-971.

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Introduction

Many important contributions have been made to knowledge of massive upper gastrointestinal hemorrhage in recent years. The importance of coordination of medical and surgical action and planning by a "team" approach has been stressed by us and by others.^1,2 The value of establishing a preoperative diagnosis is self-evident.³ Major contributions in this area have been made by Hampton,⁴ who reported limited x-ray studies during or shortly after hemorrhage. The study can be helpful, as has been shown by Ritvo, Cotter, and Zamcheck,⁵ who report the safety and accuracy of complete upper gastrointestinal tract roentgenograms. The importance of liver disease as a complicating factor in diagnosis and prognosis is evident from the studies of Smythe and others.⁶ The sulfobromophthalein (Bromsulphalein) test has proved particularly useful in screening patients with significant liver disease⁷ and has been used in connection with esophagoscopy^8,9 as a means . . . [Full Text PDF of this Article]

Author Affiliations
Brookline, Mass.

From the Fifth (Harvard) Surgical Service and the Sears Surgical Laboratory, Boston City Hospital.; Clinical Associate in Surgery, Harvard Medical School; Associate Visiting Surgeon, Fifth (Harvard) Surgical Service, Boston City Hospital (Dr. Osborne). Professor of Surgery, Harvard Medical School; Director of the Fifth (Harvard) Surgical Service and Sears Surgical Laboratory, Boston City Hospital (Dr. Dunphy).

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