Massively Bleeding Gastroduodenal Ulcers

Diagnosis of upper gastro-intestinal bleeding.

“…By the use of these several methods, another advantage is the detection of more than one possible source of bleeding, a circumstance which was present in 11.5 % of our cases. This agrees with the experience of Kozoll and Meyer (1963b).…”

“…In the series of Ward-McQuaid et al recurrent bleeding was three times more likely in patients with a gastric ulcer than in those with an acute erosion. Levrat et al (1962) showed that in a series of 500 patients there was a 12 % mortality in those bleeding from a gastric ulcer and a 4.7% mortality in those bleeding from a duodenal ulcer, and a similar difference was noted by Kozoll and Meyer (1963a).…”

“…Atrophic gastritis is commonly associated with hypothyroidism (Golding, 1942), and achlorhydria has been found in approximately 50% of cases (Williams and Bakke, 1962). Capillary fragility is known to be increased in hypothyroidism (Blackburn, 1959), and a bleeding tendency reversed by treatment has been described in one hypothyroid patient (Egeberg, 1963 Kozoll and Meyer (1963b).…”