CHARLES F. JOHNSON, M.D.
The management of patients with upper gastrointestinal bleeding remains controversial. In part, this reflects the need for accurate diagnosis with localization of the bleeding site. Even though peptic ulcerative disease is the preponderant cause of such bleeding, a vigorous early diagnostic and therapeutic approach has been recommended for acute hemorrhage (1). The safety and efficacy of this approach has been stressed (2). Since the results of early surgical intervention and a combined quasimedical conservative surgical approach are almost equivalent (3, 4), an accurate diagnosis with therapy related to the immediate situation and based on the natural history of the underlying
JOHNSON CF. The String Test for Upper Gastrointestinal Bleeding—A New, Plastic Look. Ann Intern Med. 1967;67:1115–1116. doi: 10.7326/0003-4819-67-5-1115
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Published: Ann Intern Med. 1967;67(5):1115-1116.
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