title: Bleeding ulcer.
abstract: A review is presented on theory and practice in the handling of gastroduodenal bleeding in the presurgical era with emphasis on the Meulengracht treatment. A description is thereafter given of the development of criteria for emergency surgery in the preendoscopic period with special mention of the circulatory evaluation using measurements of central venous pressure. A survey is given on the development in endoscopic diagnosis and treatment with a critical evaluation of the predictive value of clinical factors and endoscopic stigmata of haemorrhage. Finally the sparse knowledge on the haemostatic mechanisms of current endoscopic therapies is presented.
authors.affiliation: Surgical Dept. A, Odense University Hospital, Denmark.
authors.forename: D
authors.initials: D
authors.lastname: Andersen
authors.forename: P
authors.initials: P
authors.lastname: Wara
mesh_terms: D001803:Blood Transfusion; D016558:Hemostasis, Endoscopic; D006488:Hemostasis, Surgical; D049673:History, 20th Century; D006801:Humans; D010438:Peptic Ulcer Hemorrhage / Q000266:history* / Q000628:therapy