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- W1632243754 abstract "Summary An analysis is presented of the primary cause of bleeding among 2,011 patients with hematemesis and/or melena, personally treated over 14 years at the Central Middlesex Hospital, London. The mortality of those patients with proved or probable peptic ulcer has been correlated with age, site and size of ulcer, recurrence of bleeding after treatment, clinical complications and surgical intervention. The mortality shows a sharp increase at age 60; chronic gastric ulcer gives the highest mortality for individual sites—15.9 per cent against only 2.5 per cent among those with acute lesions. Acute gastric ulcers have been demonstrated in many cases by gastroscopy performed during the early days after admissions. In the first six years very few patients were operated on, but in the past eight years a policy of surgery in selected cases has been followed in patients with severe continued bleeding or with recurrent hemorrhage after admission, particularly if the patient was over 40. Over-all mortality rates have not been influenced by this surgical policy, but there has been an improvement in mortality of patients under 60 and in patients with chronic gastric ulcer. A policy of emergency surgery is advocated in selected cases." @default.
- W1632243754 created "2016-06-24" @default.
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- W1632243754 date "1956-02-01" @default.
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- W1632243754 title "Hematemesis and Melena" @default.
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- W1632243754 doi "https://doi.org/10.1016/s0016-5085(56)80126-1" @default.
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