title: [Acute hemorrhage of the upper digestive tract with special reference to stress ulcer. Prevention and surgical therapy].
abstract: For the surgical therapy of an acute stress-ulcer bleeding there are three methods to someones disposal: 1.) the local care of a bleeding source 2.) the partial gastrectomy and 3.) vagotomy with pyloroplasty and local care of a bleeding source and as prophylaxis of an acute stomach bleeding the highly selective vagotomy with or without pyloroplasty. On judging the success of these methods, some has to consider the basal illness with its letality, because it is to differ, wether a patient died postoperative on his basal disease, or on the effect of the operation, or out of deficient control of the situation. Considering such points it comes out clear, that today the vagotomy with a drainage operation is the method of choice, because: 1.) through this intervention patients are tainted less as for instance through a partial gastrectomy, 2.) through a technical faultless done operation, especially through a vagotomy a success concerning a relapse bleeding is guaranteed. Beside that, the highly selective vagotomy without drainage operation presents itself as prophylactic measure, to prevent an acute stomach bleeding in a number of transplanted patients (kidney transplantation). The first experiences with this method show, that a improvement of the results is to be expected.
mesh_terms: D000208:Acute Disease; D001317:Austria; D005743:Gastrectomy; D006801:Humans; D010438:Peptic Ulcer Hemorrhage / Q000209:etiology / Q000401:mortality / Q000517:prevention & control / Q000601:surgery; D011183:Postoperative Complications; D013312:Stress, Physiological / Q000150:complications; D014628:Vagotomy
vernacular_title: Die akute Blutung des oberen Verdauungstraktes mit besonderer Berücksichtigung des Stressulkus. Prophylaxe und chirurgische Therapie