RT Journal
A1 TAYLOR FW, JONTZ JG
T1 CIrrhosis with hemorrhage
JF A.M.A. Archives of Surgery
JO A.M.A. Archives of Surgery
YR 1959
FD May 1
VO 78
IS 5
SP 786
OP 790
DO 10.1001/archsurg.1959.04320050117017
UL http://dx.doi.org/10.1001/archsurg.1959.04320050117017
AB It has been emphasized repeatedly that the immediate death rate is extremely high in cirrhotic patients having massive esophageal hemorrhage (Refs. 3, 8, 11, 13, 15, 18, 21, 24, 27). Therefore, to repeat this assertion with still another review of cases would seem superfluous. However, it is our opinion that the story has only half been told—that in the light of present surgical attempts to control the situation, the entire implication is not fully appreciated—and that the assertions of surgical triumphs over this condition should be tempered with some of the thoughts here expressed.This review was originally undertaken to evaluate our results in the treatment of hemorrhaging cirrhotic patients. We could not believe our experiences were as bad as those of others. The review proved to be a monotonous repetition of what: had already been reported. It indicated an unbelievably high mortality immediately following the first massive hemorrhage, with