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June 1939, Vol 63, No. 6 >
ARTICLE | June 1939

TREATMENT OF MASSIVE HEMORRHAGE DUE TO PEPTIC ULCER

JOHN S. LaDUE, M.D.
Arch Intern Med (Chic). 1939;63(6):1017-1029. doi:10.1001/archinte.1939.00180230002001.
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There is no general agreement among internists on the question of withholding or giving food to patients with bleeding peptic ulcer. Most clinicians advocate a period of fasting, the giving of fluids and transfusions when needed and rest. Allen and Benedict1 reported 138 cases of massive hemorrhage with a mortality of 14.5 per cent. This did not, however, include gross hemorrhage of mild and moderate degree, the mortality of all patients treated for gross hemorrhage being less than 2 per cent. Goldman2 noted 40 deaths in 349 cases of gross hemorrhage, a mortality of 11.5 per cent. Eggleston3 treated 95 patients without a fatality. Hinton4 reported 52 cases, with a 20 per cent mortality; Westermann,5 50 cases with a 20 per cent mortality; Hendon,6 46 cases with a 19 per cent mortality, and Manheim,7 101 cases with an 8.9 per cent mortality for patients submitted to

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