Performation of peptic ulcer following paracentesis in patients with cirrhosis

Splenectomy in Cryptogenetic Splenomegaly

“…Gastric or duodenal ulcers were responsible for four deaths, and here again there is a link with the cirrhosis, for the incidence of ulcers in such patients is undoubtedly high. Koide, Texter, and Borden (1958) reviewed the * HAEMATEN incidences reported in the literature and found o MELAENA them to range from 3.6 to 24.7%. In the 127 t DEATH patients followed up after splenectomy ulcers were demonstrated radiologically in 12, includ-CA)PERFORA ing the four who died.…”

Peptic ulcer and gastric secretion in patients with liver disease

“…It may thus be difficult to pinpoint the exact cause of gastrointestinal haemorrhage in patients with hepatic cirrhosis, especially as it is generally agreed that there is a high incidence of peptic ulcer in such patients. But the reported frequency of this association varies widely (Koide, Texter, and Borden, 1958) and most of the series have been reported from North America where cirrhosis is usually associated with alcoholism so that it is often not clear whether the important factor is the liver disease or the alcoholism. More recently it has been suggested that ulcers occur even more frequently following a portacaval anastomosis operation (Clarke, Ozeran, Hart, Gruze, and Crevling, 1958).…”

Emotional Antecedents of Perforation of Ulcers of the Stomach and Duodenum

“…It is not uncommon in alcoholics 3 '"' 1 7Ti 84 and has been noted following paracentesis. 77 It has occurred occasionally following myocardial infarction, 1 -' ss S9 - 110 congestive heait failure, 35 and cardiac surgery. 10 -7I) It has been seen with multiple perforating gastrointestinal ulcers," 1 40 ' 50 with gastrointestinal hemorrhage, obstruction, or both, 88 -92 -101 -]2°w ith chronic ulcerative colitis; 8 " 1 113 and in connection with a malignancy.…”