RT Journal
A1 Puri S
T1 WOrds before actions
JF JAMA Internal Medicine
JO JAMA Internal Medicine
YR 2013
FD January 28
VO 173
IS 2
SP 94
OP 95
DO 10.1001/2013.jamainternmed.826
UL http://dx.doi.org/10.1001/2013.jamainternmed.826
AB 
Mr C, a 78-year-old man with a history of Zollinger-Ellison syndrome with metastatic gastrinoma requiring subtotal gastrectomy with gastrojejunostomy, multiple past gastrointestinal tract bleeding events, and severe aortic stenosis was seen at an emergency department in Central California after an episode of melena. On upper endoscopy, he was found to have a bleeding ulcer with a visible vessel, which was clipped. Once hemodynamically stable, he was transferred to a tertiary care center for a surgical intervention aimed at preventing future gastrointestinal tract bleeding by addressing his tumor burden.