The American Journal of Digestive Diseases

, Volume 6, Issue 2, pp 92–96 | Cite as

Bleeding peptic ulcer (A Report of Eighty Cases)

  • George C. Turnbull
  • Joseph H. Sagi


Eighty cases of bleeding peptic ulcer have been treated in the Evanston Hospital in the ten year period 1928 to 1937, inclusive, with a mortality of 2.5 per cent. Eight had had previous operations for ulcer.

Two patients operated upon subsequently in other hospitals because of recurrent hemorrhage died. Six patients have died of causes other than ulcer. An analysis of the hospital records of this series of cases bears testimony to the value of medical management, and indicates that medical treatment is the treatment of choice unless repeated hemorrhages occur and the ulcer is of the penetrating or perforating type. An evaluation of variations employed in dietary management indicates that the early use of a relatively liberal and balanced diet, as compared with the routine fasting and the inadequate diet permitted by the standard Sippy regimen, is beneficial in shortening the time of bleeding and in favoring healing.


Peptic Ulcer Dysentery Bacillary Dysentery Bleeding Ulcer Bleeding Peptic Ulcer 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Editorial,J. A. M. A., 110:18–1491, April, 1938.Google Scholar
  2. 2.
    Noth and Wilbur: Diagnosis and Treatment of Gastro-Intestinal Hemorrhage. Proceedings of the Staff of the Mayo Clinic, 10:824, 1935.Google Scholar
  3. 3.
    Abrahams, Taylor and Bennett: Discussion on Hematemesis. Proceedings of the Royal Society of Medicine, 27:1521, 1934.Google Scholar
  4. 4.
    Goldman: Gross Hemorrhage from Peptic Ulcer.J. A. M. A., 107:19–1537, 1936.Google Scholar
  5. 5.
    Eliason and Ebeling: Catastrophes of Peptic Ulcer.Am. J. of Surg., 24–63, April, 1934.Google Scholar
  6. 6.
    Gordon-Taylor: The Problem of Bleeding Peptic Ulcer.British J. of Surg., xxv:98–403, Oct., 1937.Google Scholar
  7. 7.
    Cheesman: Mortality of Severe Hemorrhage from Peptic Ulcer.Lancet, 2–722.Google Scholar
  8. 8.
    Aitken, R. S.: Treatment of Profuse Bleeding from the Stomach and Duodenum.Lancet, 1–839, 1934.Google Scholar
  9. 9.
    Lahey: Treatment of Bleeding Duodenal Ulcer.Surgical Clinics of North America, 17:3–687, June, 1937.Google Scholar
  10. 10.
    Meulengracht: Treatment of Hematemesis and Melena with Food.Lancet, ccxxix:1220, 1935.CrossRefGoogle Scholar
  11. 11.
    Crossan: Treatment of Bleeding Peptic Ulcer.Surgical Clinics of North America, 16:2–461, April, 1936.Google Scholar
  12. 12.
    Balfour: Surgical Treatment of Hemorrhage from Ulcer. Proceedings of the Staff of the Mayo Clinic, 10:826, 1935.Google Scholar
  13. 13.
    Cave: Gastro-Intestinal Hemorrhage.J. of the Canadian Med. Asso. M. A. J., 38:2–151, Feb., 1938.Google Scholar
  14. 14.
    Schiodt: Blood Regeneration in Patients with Hematemesis or Melena from Peptic Ulcer. Treatment with the Usual Ulcer Cure and with the Meulengracht Treatment.Am. J. of Med. Sci., 192–163, 1936.Google Scholar
  15. 15.
    Portnoy and Wilkinson: Vitamin C Deficiency in Peptic Ulcers and Hematemesis.British Med. J., 3–12, 1938.Google Scholar
  16. 16.
    Bourne: Vitamin C Deficiency in Peptic Ulcers. Estimation by Capillary Resistance Test.British Med. J., 3–12, 1938.Google Scholar
  17. 17.
    Wilbur: Factors which Influence the Generation of Blood Following Hemorrhage from Peptic Ulcer.Am. J. of Dig. Dis., 5:2–125, April, 1938.Google Scholar

Copyright information

© Springer-Verlag 1939

Authors and Affiliations

  • George C. Turnbull
    • 1
  • Joseph H. Sagi
    • 1
  1. 1.Evanston

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