[Severe hemorrhage from gastroduodenal ulcer. Apropos of 100 cases].
Over a period of 7 years, 100 patients (70 males and 30 females; mean age 66 years) were operated for digestive tract haemorrhage originating in an ulcer. There was a past history of ulcer in 21% and 29% had been taking drugs known to have a toxic effect on the stomach. Patent bleeding was observed by endoscopy in 32% with clear arterial flow, or a visible vessel in 10. In 20 patients a fresh clot was observed. Surgery had been indicated for massive haemorrhage in 25 cases, for persistent bleeding in 27, for recurrent bleeding in 37 and due to a visible vessel in 11. Conservative treatment was possible in three-fourths of the cases. Gastrectomy was performed in 26. Follow-up was uneventful in 55. There were 18 cases with complications and 27 deaths factors leading to fatal outcome and the data reported in the literature were analyzed.
Le Neel
J C
JC
Clinique Chirurgicale A, Hôtel-Dieu, Nantes.
Guiberteau
B
B
Armstrong
O
O
Borde
L
L
Eloufir
M
M
Burgos-Suarez
B
B
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004381:Duodenal Ulcer / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000401:mortality / Q000601:surgery*; D012307:Risk Factors; D013276:Stomach Ulcer / Q000150:complications* / Q000601:surgery
Hémorragies graves des ulcères gastro-duodénaux. A propos de 100 cas.