FRANK SMITHIES, M.D., Sc.D.
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Bleeding from the stomach may be acute and copious or chronic and of small amount. Both forms of hemorrhage may be continuous or intermittent. A combination of the grades is possible. Sudden, copious gastric hemorrhage commonly leads to blood vomiting (hematemesis) and to blood-stained stools (melena). However, even extensive gastrorrhagia may be unaccompanied by hematemesis, but may be associated with melena alone. Chronic seepage of small quantities of blood is, of itself, rarely productive of hematemesis. While this form of gastrorrhagia may give rise to obvious melena, quite commonly the presence of blood pigment in the stools can only be
SMITHIES F. Gastro-Duodenal Hemorrhage1. Ann Intern Med. 1928;1:637–654. doi: 10.7326/0003-4819-1-9-637
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Published: Ann Intern Med. 1928;1(9):637-654.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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