Abstract
In 1986, 292 patients were admitted to a joint medical-surgical gastrointestinal unit with upper gastrointestinal haemorrhage. Fourteen patients died (4.8%) a mortality considerably lower than recorded in most series. The low mortality may result from the use of a specialized gastrointestinal unit to which all patients with upper gastrointestinal haemorrhage are admitted and managed with strict protocols for resuscitation, transfusion and surgery.
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- Allan R., Dykes P. A study of the factors influencing mortality rates from gastrointestinal haemorrhage. Q J Med. 1976 Oct;45(180):533–550. [PubMed] [Google Scholar]
- Devitt J. E., Brown F. N., Beattie W. G. Fatal bleeding ulcer. Ann Surg. 1966 Nov;164(5):840–844. doi: 10.1097/00000658-196611000-00008. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dronfield M. W., Atkinson M., Langman M. J. Effect of different operation policies on mortality from bleeding peptic ulcer. Lancet. 1979 May 26;1(8126):1126–1128. doi: 10.1016/s0140-6736(79)91803-8. [DOI] [PubMed] [Google Scholar]
- Dronfield M. W. Special units for acute upper gastrointestinal bleeding. Br Med J (Clin Res Ed) 1987 May 23;294(6583):1308–1309. doi: 10.1136/bmj.294.6583.1308-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Duggan J. M. Haematemesis patients should be managed in special units. Med J Aust. 1986 Mar 3;144(5):247–250. doi: 10.5694/j.1326-5377.1986.tb115886.x. [DOI] [PubMed] [Google Scholar]
- Hellers G., Ihre T. Impact of change to early diagnosis and surgery in major upper gastrointestinal bleeding. Lancet. 1975 Dec 20;2(7947):1250–1251. doi: 10.1016/s0140-6736(75)92085-1. [DOI] [PubMed] [Google Scholar]
- Himal H. S., Perrault C., Mzabi R. Upper gastrointestinal hemorrhage: aggressive management decreases mortality. Surgery. 1978 Oct;84(4):448–454. [PubMed] [Google Scholar]
- Hunt P. S., Hansky J., Korman M. G. Mortality in patients with haematemesis and melaena: a prospective study. Br Med J. 1979 May 12;1(6173):1238–1240. doi: 10.1136/bmj.1.6173.1238. [DOI] [PMC free article] [PubMed] [Google Scholar]
- JONES F. A. Haematemesis and melaena, with special reference to bleeding peptic ulcer. Br Med J. 1947 Sep 20;2(4524):441–446. doi: 10.1136/bmj.2.4524.441. [DOI] [PMC free article] [PubMed] [Google Scholar]
- LEWIN D. C., TRUELOVE S. Haematemesis, with special reference to chronic peptic ulcer. Br Med J. 1949 Mar 5;1(4600):383–386. doi: 10.1136/bmj.1.4600.383. [DOI] [PMC free article] [PubMed] [Google Scholar]
- MACCAIG J. N., STRANGE S. L., NORRIS T. S. HAEMORRHAGE FROM THE UPPER ALIMENTARY TRACT. Gut. 1964 Apr;5:136–141. doi: 10.1136/gut.5.2.136. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Madden M. V., Griffith G. H. Management of upper gastro-intestinal bleeding in a district general hospital. J R Coll Physicians Lond. 1986 Jul;20(3):212–215. [PMC free article] [PubMed] [Google Scholar]
- NEEDHAM C. D., McCONACHIE J. A. Haematemesis and melaena. Br Med J. 1950 Jul 15;2(4671):133–138. doi: 10.1136/bmj.2.4671.133. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Schiller K. F., Truelove S. C., Williams D. G. Haematemesis and melaena, with special reference to factors influencing the outcome. Br Med J. 1970 Apr 4;2(5700):7–14. doi: 10.1136/bmj.2.5700.7. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sircus W. Medical-surgical collaboration in the practice of gastroenterology. Postgrad Med J. 1984 Nov;60(709):725–732. doi: 10.1136/pgmj.60.709.725. [DOI] [PMC free article] [PubMed] [Google Scholar]
- TANNER N. C., DESMOND A. M. The surgical treatment of haematemesis and melaena. Postgrad Med J. 1950 May;26(295):253–266. doi: 10.1136/pgmj.26.295.253. [DOI] [PMC free article] [PubMed] [Google Scholar]