This Article  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on Web of Science (4)  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Eddy D. Palmer, MD

JAMA. 1975;231(8):853-855.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

AS one of the more desperate of medical emergencies, torrential upper gastrointestinal hemorrhage demands close teamwork between several medical workers: clinicians, nurses, radiologists, laboratory technicians, electrocardiographers, blood bank personnel, and chaplains. Because each may have an urgent job very soon after the patient arrives on the medical scene, a prescribed plan of action for immediate treatment is required if confusion and inefficiency are to be avoided. On the other hand, the many clinical variables encountered among bleeding patients, particularly as they pertain to the preexisting base line medical situation, necessitate the most thoughtful individualization in the treatment of each patient.

In upper gastrointestinal hemorrhage the bleeding source lies somewhere proximal to the third portion of the duodenum. Thus, by definition, the source of upper gastrointestinal hemorrhage may be reached by routine peroral panendoscopy. This is an especially important point: it explains why arteriography is ordinarily not employed for diagnosis, even . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Medicine, Hackettstown Community Hospital, Hackettstown, NJ.

Footnotes
Reprint requests to 43 Flocktown Rd, Long Valley, NJ 07853.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?