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D. K. Ousterhout, MD; Irving Feller, MD

AMA Arch Surg. 1968;96(3):420-422.

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

ONE of the most dread complications of the management of the burned patient is gastrointestinal hemorrhage. An accurate evaluation of the incidence of this complication, also known as Curling's ulcer, is difficult. Hummel¹ at the Brooke Army Hospital reported in 1957 a 2%²⁰ incidence of Curling's ulcer in 1,000 consecutive burns (primarily adult males.) Choudhury² reported in 1963 an 0.09% (2) incidence of Curling's ulcer in 2,165 burned children. In 1938 Harkins³ reported an incidence of 3.8% (26) in 680 necropsied burn cases. At the University of Michigan Medical Center, 340 burned patients were admitted from July 1, 1959, to Dec 31, 1965, and of these 2.6% (9) developed a Curling's ulcer (unpublished data).

On several occasions it has been noted that the number of blood transfusions necessary to keep the hematocrit at a level of 40% is greater than that which would appear to be . . . [Full Text PDF of this Article]

Author Affiliations
Ann Arbor, Mich

From the Department of Surgery, University of Michigan Medical Center, Ann Arbor, Mich.

Footnotes
Submitted for publication Aug 21, 1967.

Reprint requests to 1405 E Ann St, Ann Arbor, Mich 48104 (Dr. Feller).

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