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  Vol. 89 No. 2, August 1964 TABLE OF CONTENTS
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Massively Bleeding Gastroduodenal Ulcers

Effects of Treatment on Morbidity and Mortality

DONALD D. KOZOLL, MD; KARL A. MEYER, MD

AMA Arch Surg. 1964;89(2):250-265.

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

In a previous publication we reported certain general factors influencing the incidence, type, and outcome of patients bleeding massively from gastroduodenal ulcers.1 In that publication we defined massive hemorrhage as (1) hematologic evidence of loss of one-third normal blood volume; (2) clinical evidence of shock; or (3) the need for multiple transfusions to forestall or correct the two. In a second paper,2 the symptoms and signs of prognostic value in this same series of 2,008 patients with confirmed ulcers were reported. In a third publication dealing with this same group of patients3 the accumulated laboratory data was presented. In this report, the results of various measures employed between the years 1936 through 1955 inclusive are evaluated as to morbidity and mortality.

Evaluation of Treatment

The specific items selected for study in evaluating the treatment of this manifestation were:

1. antacids

2. medications

3. vitamins

4. diets

5. . . . [Full Text PDF of this Article]


Author Affiliations

CHICAGO

From the departments of surgery of the Cook County Hospital, Northwestern University Medical School, and the Cook County Graduate School of Medicine.


Footnotes

Submitted for publication Jan 27, 1964.

Supported by a grant-in-aid from the Jerome D. Solomon Memorial Research Foundation and the Hektoen Institute for Medical Research of the Cook County Hospital.



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