| The bleeding gastric ulcer--will it bleed again, and if so, why? A case for repeat endoscopy in evaluating stigmata. | |
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MedLine Citation:
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PMID: 6740439 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Nine patients qualified for surgery for a bleeding gastric ulcer--all had a 'visible vessel'. Three of these vessels were thrombosed including 2 in patients who had been in shock. The smallest patent vessel was 0,35 mm in diameter, and 6 of the bleeding vessels were subserosal. The features thought to predispose to further bleeding were vessel size, a lateral hole in the main trunk of the vessel and, possibly, previous recanalization or ingestion of a drug which affected haemostasis. Five of 6 patent arteries had a cap of thrombus over the breach forming a false aneurysm. It is suggested that clinically these should pulsate, enlarge, leak--with persistent fresh thrombus in the ulcer crater on repeat endoscopy--and finally rupture. Where the underlying vessel is thrombosed the stigmata of a non-pulsatile 'visible vessel' or thrombus in the ulcer should disappear on repeat endoscopy. The sizes of the arteries in the normal antrum are tabulated. |
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Authors:
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R D Shuttleworth; V G Falck |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde Volume: 66 ISSN: 0256-9574 ISO Abbreviation: S. Afr. Med. J. Publication Date: 1984 Jul |
Date Detail:
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Created Date: 1984-08-16 Completed Date: 1984-08-16 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0404520 Medline TA: S Afr Med J Country: SOUTH AFRICA |
Other Details:
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Languages: eng Pagination: 95-7 Citation Subset: IM |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Arteries Humans Middle Aged Peptic Ulcer Hemorrhage / pathology* Stomach / blood supply* Stomach Ulcer / pathology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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