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Upper gastrointestinal bleeding. With special reference to blood transfusion.
Department of Surgery, Sundsvall County Hospital, Sundsvall, Sweden.
Department of Surgery, Sundsvall County Hospital, Sundsvall, Sweden.
1991 (English)In: European Journal of Surgery, ISSN 1102-4151, E-ISSN 1741-9271, Vol. 157, no 3, p. 193-6Article in journal (Refereed) Published
Abstract [en]

Upper gastrointestinal haemorrhage in 978 unselected patients during a 9-year period was reviewed in regard to incidence, diagnosis, treatment and mortality rate. The annual incidence was 1/1,000 of the catchment population. The source of bleeding was established in 89% of cases. Peptic ulcer accounted for 53% of total admissions. Blood transfusion was given only when the haemoglobin was less than 8.0 g/dl or if the patient was in shock. Emergency surgery was performed on only 31 patients (3%). The perioperative mortality was 13% and the overall mortality 6%. It is concluded that current treatment policy resulted in low rates of operation and mortality in these unselected cases of upper gastrointestinal haemorrhage. The results support the theory that a hypercoagulable state in gastrointestinal bleeding is counteracted by citrated stored blood.

Place, publisher, year, edition, pages
1991. Vol. 157, no 3, p. 193-6
Keywords [en]
blood transfusion, gastrointestinal haemorrhage, haematemesis, melaena
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:miun:diva-19096ISI: A1991FJ72700007PubMedID: 1678629Scopus ID: 0025782448OAI: oai:DiVA.org:miun-19096DiVA, id: diva2:647470
Available from: 2013-09-11 Created: 2013-06-07 Last updated: 2018-11-08Bibliographically approved

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Henriksson, Anders E.

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