J. RICHARD GOTT JR., M.D., F.A.C.P.; EDWIN L. SMITH, M.D.; DALLAS D. DORNAN, M.D.
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Acute upper gastrointestinal hemorrhage is a medical emergency, the proper management of which has been the subject of much controversy. For many years it was believed that the patient should be placed at bed-rest, be given nothing by mouth, and receive no intravenous fluid or blood. The starvation régime was to rest the stomach, and the withholding of intravenous fluids was to prevent an increase in the blood pressure with the possibility of blowing out the clot. In some cases, intubation was done in order to aspirate the acid secretions which might digest the clot. After a period of starvation
GOTT JR, SMITH EL, DORNAN DD. ACUTE SEVERE UPPER GASTROINTESTINAL HEMORRHAGE: A REVIEW OF 195 CASES1. Ann Intern Med. ;36:1001–1016. doi: 10.7326/0003-4819-36-4-1001
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Published: Ann Intern Med. 1952;36(4):1001-1016.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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