AN ANALYSIS OF 200 ADMISSIONS FOR MASSIVE UPPER GASTROINTESTINAL BLEEDING

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Abstract
Of 200 admissions for gastrointestinal hemorrhage, 123 were due to duodenal ulcer, 22 to gastric ulcer. There were 3 deaths in the duodenal ulcer group; only one directly attributable to blood loss. The corrected mortality in this group was accordingly .8%. Medical therapy resulted in a mortality rate significantly lower than the best reported with surgical intervention. Emergency surgical intervention was necessary in only 2 cases. Of the 22 patients with gastric ulceration, 3 (13.6%) died as a direct result of gastric hemorrhage. This figure is significantly higher than that due to duodenal ulcer, and is in keeping with our current concept of earlier surgical intervention in patients with bleeding gastric ulcers.

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