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Abstracts |

The Use of Local Gastric Hypothermia in Massive Upper Gastrointestinal Hemorrhage.

W. J. Grace, M.D., F.A.C.P.
Ann Intern Med. 1963;58(4):727. doi:10.7326/0003-4819-58-4-727_1
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Sixteen patients, over 45 years of age, with massive hemorrhage from the upper gastrointestinal tract, have been treated with local gastric hypothermia. Massive hemorrhage is defined (in this study) as that blood loss requiring the replacement of 3,000 cc of blood within 24 hospital hours in order to maintain vital signs.

There were 10 patients with peptic ulcer. In 8 the bleeding stopped promptly. In 2 the bleeding did not stop, in 1 because of failure of the machine to function, and in 1 because the cooling was carried out for only 2 hours. Both of these patients were subjected


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