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- W2056512031 abstract "1.1. History of ulcer of several years duration. 2.2. Acute hemorrhage, arrested by withholding all liquids from stomach, recurring when feeding is resumed or following transfusions. These repeated hemorrhages repeated until a grave state of anemia ensued, when operative interference was undertaken. 3.3. At operation, on opening duodenum a denuded or bleeding vessel was not discovered. An old scar excised and lumen closed, then posterior gastro-enterostomy. This again bears out the reported experiences of other surgeons as well as our own that in these severe hemorrhages with accompanying acute anemia, it is difficult to find the bleeding point. Prolonged search is not justified by reason of the poor condition of the patients. Occlusion of duodenum and gastro-enterostomy alone can be credited with the arrest of bleeding. 4.4. The attending acute gastric dilatation responded to frequent lavages. 5.5. The patient experienced a temporary mental derangement by reason of the acute cerebral anemia. 6.6. Approximately twelve days after first operation an intestinal obstruction occurred necessitating a second operation. 7.7. Purposely gastric feeding was restricted postoperatively and the patient was supported with saline solution and glucose and soda. 8.8. Six months have elapsed. Patient is symptom-free and is working. The anemia has disappeared." @default.
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- W2056512031 date "1926-10-01" @default.
- W2056512031 modified "2023-09-25" @default.
- W2056512031 title "Duodenal ulcer; persistent hemorrhage; operation; secondary operation for intestinal obstruction: a case report" @default.
- W2056512031 doi "https://doi.org/10.1016/s0002-9610(26)90225-0" @default.
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