Postoperative hemorrhagic gastritis

John P. Delaney

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

1. 1. The clinical histories of 9 patients who developed hemorrhagic gastritis during postoperative convalescence are summarized. 2. 2. Commonly observed antecedents to this condition are infection, tracheostomy, wound dehiscence, and the use of broad-spectrum antibiotics. Apparently unimportant factors are acid peptic juice, transfusion, shock, allergy, and presence of a nasogastric tube. No systemic bleeding tendencies were noted. 3. 3. Pathologic changes of hemorrhagic gastritis consist of bleeding under, into, and through intact mucosa. Mural edema and vascular congestion are prominent. This picture is distinct from that seen in erosive gastritis. 4. 4. A theoretical mechanism for the production of these changes is proposed which consists of ischemia secondary to erythrocyte sludging or arteriovenous shunting of blood away from the mucosa. Capillary integrity is lost as a result of hypoxia. 5. 5. No entirely satisfactory treatment has been evolved. Local hypothermia seems to slow, but not stop, the bleeding. Partial gastrectomy sometimes halts the hemorrhage. Total gastric excision solves the blood loss problem, but is an extensive operation poorly tolerated by patients in critical condition. Steroids have been reported to be effective.

Original languageEnglish (US)
Pages (from-to)185-194
Number of pages10
JournalSurgery
Volume51
Issue number2
StatePublished - Feb 1 1962

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Gastritis
Hemorrhage
Mucous Membrane
Tracheostomy
Wound Infection
Gastrectomy
Hypothermia
Blood Vessels
Digestion
Shock
Edema
Stomach
Hypersensitivity
Ischemia
Erythrocytes
Steroids
Anti-Bacterial Agents
Acids
Therapeutics

Cite this

Delaney, J. P. (1962). Postoperative hemorrhagic gastritis. Surgery, 51(2), 185-194.

Postoperative hemorrhagic gastritis. / Delaney, John P.

In: Surgery, Vol. 51, No. 2, 01.02.1962, p. 185-194.

Research output: Contribution to journalArticle

Delaney, JP 1962, 'Postoperative hemorrhagic gastritis', Surgery, vol. 51, no. 2, pp. 185-194.
Delaney JP. Postoperative hemorrhagic gastritis. Surgery. 1962 Feb 1;51(2):185-194.
Delaney, John P. / Postoperative hemorrhagic gastritis. In: Surgery. 1962 ; Vol. 51, No. 2. pp. 185-194.
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