title: Stress ulcer: a continuing dilemma.
abstract: The disease is painless and presents as a massive upper GI hemorrhage. Early diagnosis and rapid treatment are mandatory for patient survival. A variety of nonoperative treatment regimens are available, none demonstrating a clearcut superiority. Because the incidence of rebleeding is high, operative intervention is frequently required. The appropriate surgical procedure is unclear, although most surgeons perfer a generous subtotal gastrectomy with truncal vagotomy. Unquestionably, the best treatment is prevention.
mesh_terms: D002056:Burns / Q000150:complications; D003937:Diagnosis, Differential; D004381:Duodenal Ulcer / Q000175:diagnosis; D005756:Gastritis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006471:Gastrointestinal Hemorrhage / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D010437:Peptic Ulcer / Q000175:diagnosis / Q000209:etiology*; D013577:Syndrome