BLEEDING PEPTIC ULCER

3 January 1942

journal article
research article
Published by American Medical Association (AMA) in JAMA

Vol. 118 (1) , 5-11
https://doi.org/10.1001/jama.1942.02830010007002

Abstract

The methods advocated in the treatment of massive hemorrhage from peptic ulcer have basically followed four general plans: (1) initial fasting and dietary restriction, (2) immediate feeding, (3) intubation and (4) surgery. Varied mortality percentages have been reported not only for the different methods but with the same procedures. Although these variations may be due to differences in the type of case encountered, nevertheless there is confusion as to the best therapeutic approach in bleeding peptic ulcer. The most commonly employed method has been the restricted dietetic regimen, based on the theory that an initial fasting period of variable duration followed by a diet of the Sippy type aids in healing the ulcer and prevents recurrence of bleeding by resting the stomach and neutralizing the acidity. The mortality with this method has ranged from 4.2 per cent in 94 cases¹to 25 per cent in 191 cases.²The

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