| Haematemesis and melaena, with special reference to factors influencing the outcome. | |
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MedLine Citation:
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PMID: 5440587 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In a study of 2,149 emergency admissions because of haematemesis or melaena during a 15-year period, the sex ratio, age distribution, and main diagnostic groups showed no major change. Various factors affected the prognosis, such as the age of the patient, the underlying diagnosis, a low blood pressure on arrival at hospital, gross anaemia on arrival there, and the pattern of bleeding after admission. The fatality rate remained virtually constant throughout the period studied in spite of changes in diagnostic methods and management. There was a changing pattern in the type of operation performed in the treatment of bleeding peptic ulcer. Vagotomy combined with a drainage procedure and with a direct surgical attack on the bleeding point became more widely used at the expense of Polya or Billroth I partial gastrectomy and gave the best results. It is at first paradoxical that improved surgical results should not be reflected in a general improvement in the fatality rate, but this finding can be explained by the smaller proportion of patients treated by emergency surgery in the later years of the period studied. It is concluded that emergency surgery should be performed more frequently and that vagotomy plus drainage is the operation of choice in the peptic ulcer group. |
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Authors:
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K F Schiller; S C Truelove; D G Williams |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: British medical journal Volume: 2 ISSN: 0007-1447 ISO Abbreviation: Br Med J Publication Date: 1970 Apr |
Date Detail:
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Created Date: 1970-06-05 Completed Date: 1970-06-05 Revised Date: 2010-10-26 |
Medline Journal Info:
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Nlm Unique ID: 0372673 Medline TA: Br Med J Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 7-14 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Age Factors Aged Blood Group Antigens Blood Transfusion Drainage Emergencies Esophageal and Gastric Varices / mortality Female Gastrectomy Hematemesis / etiology, mortality* Humans Male Melena / etiology, mortality* Middle Aged Peptic Ulcer Hemorrhage / mortality, surgery Stomach Neoplasms / mortality Vagotomy |
| Chemical | |
Reg. No./Substance:
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0/Blood Group Antigens |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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