We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......

Occult Gastrointestinal Hemorrhage in Burned Patients

D. K. Ousterhout, MD; Irving Feller, MD
Arch Surg. 1968;96(3):420-422. doi:10.1001/archsurg.1968.01330210098019.
Text Size: A A A
Published online


ONE of the most dread complications of the management of the burned patient is gastrointestinal hemorrhage. An accurate evaluation of the incidence of this complication, also known as Curling's ulcer, is difficult. Hummel1 at the Brooke Army Hospital reported in 1957 a 2%20 incidence of Curling's ulcer in 1,000 consecutive burns (primarily adult males.) Choudhury2 reported in 1963 an 0.09% (2) incidence of Curling's ulcer in 2,165 burned children. In 1938 Harkins3 reported an incidence of 3.8% (26) in 680 necropsied burn cases. At the University of Michigan Medical Center, 340 burned patients were admitted from July 1, 1959, to Dec 31, 1965, and of these 2.6% (9) developed a Curling's ulcer (unpublished data).

On several occasions it has been noted that the number of blood transfusions necessary to keep the hematocrit at a level of 40% is greater than that which would appear to be


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.