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  Vol. 86 No. 4, April 1963 TABLE OF CONTENTS
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Emergency Gastric Resection for Bleeding and Perforation

HAROLD D. HARVEY, M.D.

AMA Arch Surg. 1963;86(4):557-562.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

1. Acute Massive Hemorrhage

Previous reports have been publicized of the records of all patients who underwent elective gastric resections for duodenal and gastric peptic ulcers at the Presbyterian Hospital in New York.1,2 In addition, 192 emergency gastric resections were performed, in the years 1941 through 1959, for acute massive hemorrhage from gastric or duodenal ulcers, and 15 for massive bleeding from other lesions such as jejunal ulcers or gastritis without a recognized ulcer. Before 1941, the few operations performed for acute massive gastrointestinal hemorrhage usually consisted of attempts to ligate the point of bleeding. The founding of the blood bank in the hospital, in 1939, undoubtedly contributed to the change in operative approach.

No attempt is made in this report to define precisely the terms acute massive hemorrhage or emergency resection. None of the 192 patients was operated on during the planned operating room schedule, except a few . . . [Full Text PDF of this Article]


Author Affiliations

NEW YORK

From the Department of Surgery, College of Physicians and Surgeons, Columbia University, and the Surgical Service of the Presbyterian Hospital.


Footnotes

Submitted for publication Oct. 12, 1962.

This study was carried out with the aid of the Dr. F. B. St. John Special Fund.



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