Bleeding peptic ulcer (A Report of Eighty Cases)
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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.
KeywordsPeptic Ulcer Dysentery Bacillary Dysentery Bleeding Ulcer Bleeding Peptic Ulcer
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