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LEON SCHIFF, M.D.; RICHARD J. STEVENS, M.D.

Arch Intern Med. 1939;64(6):1239-1251.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In the past few years a number of reports have appeared on the frequency and significance of azotemia following massive hemorrhage from the upper part of the digestive tract. The first of these communications were those of Sanguinetti¹ who in 1933 and 1934 reported elevation of the urea nitrogen content of the blood in 9 cases of gastric or duodenal ulcer with hemorrhage. He assumed that this increase was due chiefly to absorption of products of decomposition of the blood in the intestinal tract, resulting in a state of intoxication which might prove fatal. He actually recommended cecostomy in order to remove this blood. He reported significant elevation of urea in the blood of 2 of 3 persons fed pig's blood.

In 1935, Cristiansen² found elevation of the urea content of the blood and absence of urinary chlorides in 2 cases of bleeding gastric ulcer. He concluded that . . . [Full Text PDF of this Article]

Author Affiliations
With the Technical Assistance of Ellen S. Garber, M.S. CINCINNATI

From the Department of Internal Medicine, University of Cincinnati, and the Gastric Laboratory of the Cincinnati General Hospital.

Footnotes
Justin A. Rollman Fellow in Internal Medicine, 1938-1939.

This study was aided by a grant from Parke, Davis & Company, through the cooperation of Dr. E. A. Sharp.

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