Some Considerations on the Bleeding Gastric Ulcer

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Since the first report on the gastric ulcer was made in 460 B. C. by Hippocrates, a number of investigative works have been performed from various standpoints. One of the most undesirable complications is the bleeding from the gastric ulcer.<BR>This report is presented for the purpose of calling attention to the pathophysiologic aspect of the bleeding ulcer.<BR>Authors have recently had the opportunity of observing and treating two patients with the bleeding gastric ulcer. Both of them were relived by gastrectomy under the adequate replacement therapy given for the recovery of preoperative pre-shock condition due to relatively much bleeding. Histologically, in one cace, we found a ruptured arteriole, which seemed to be the main source of bleeding, in the base of the ulcer toward the lumen.<BR>Generally it is thought that acute bleeding from the upper gastrointestinal tract may cause interference with the circulation of liver. Once anoxia of liver is present, because of the interference with liver function as well as blood loss, subsequent shock are imminent. It has been recently emphasized by Ooi that the bleeding from the upper gastrointestinal tract seems to cause more unfavourable effects on the general condition than the bleeding from any other parts of body.<BR>Authors emphasized that if the patient is in good condition and does not exibit marked systemic effects following blood loss, early operation is advisable. On the other hand, if the patient's general condition is unfavourable and blood loss is marked, or if the patient is in shock state, a preliminary replacement therapy is prefeable. In the latter case, when the patient returns to good condition, the surgical intervention becomes urgent and gastrectomy imperative.
The Medical Society of Kansai Medical Universityの論文

Some Considerations on the Bleeding Gastric Ulcer

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The Medical Society of Kansai Medical University | 論文

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