Gastrointestinal Bleeding with Cirrhosis

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Abstract
FEW problems tax the clinician's diagnostic and therapeutic ingenuity as much as the patient with cirrhosis in whom gastrointestinal hemorrhage develops. Frequently, such a patient presents evidence suggesting any or all of the three lesions most commonly responsible for gastrointestinal bleeding: gastritis; peptic ulceration; and esophageal varices.1 2 3 The coexistence of two or all three of these lesions is frequently encountered at the Boston City Hospital. One of the reasons for this is the great frequency of alcoholism and cirrhosis in patients admitted to the hospital.4 It has been reported that a high percentage of patients with chronic alcoholism may have . . .