{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T01:36:13Z","timestamp":1759541773768},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[1979,9,1]],"date-time":"1979-09-01T00:00:00Z","timestamp":304992000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1979,9,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>In a 6-year prospective study from 1972 to 1978 266 patients were admitted to a haematemesis and melaena unit with bleeding duodenal ulcer. There were 13 deaths, a mortality of 5 per cent. A comparison between the three consecutive 2-year periods of study showed an intial mortality of 6 per cent for the first 4 years falling to 2 per cent for the 93 admissions during the final 2 years of experience. Of the 120 patients treated surgically, 10 died in hospital, giving an operative mortality of 8 per cent. The trend in operative mortality was from 13 per cent for the initial 2-year period to 8 per cent for the second period and to 3 per cent for the final 2 years. The operative rate was consecutively 45, 50 and 34 per cent. There was 1 death in conservatively treated patients during each 2-year period of study. Three types of operation were performed: vagotomy, pyloroplasty and oversewing of the ulcer; Polya gastrectomy; and vagotomy and antrectomy. There was no difference in morbidity and mortality between these operations. At a mean follow-up of 3\u00b71 years, 90 per cent of the patients had a good result from their operation. It is concluded that a prospective system of management with an active policy of early endoscopy, surgery and regular audit reduces the mortality from bleeding duodenal ulcer.<\/jats:p>","DOI":"10.1002\/bjs.1800660911","type":"journal-article","created":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T18:26:34Z","timestamp":1172859994000},"page":"633-635","source":"Crossref","is-referenced-by-count":25,"title":["Bleeding duodenal ulcer: Reduction in mortality with a planned approach"],"prefix":"10.1093","volume":"66","author":[{"given":"P S","family":"Hunt","sequence":"first","affiliation":[{"name":"Gastroenterology Unit, Prince Henry's Hospital , Melbourne,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M G","family":"Korman","sequence":"additional","affiliation":[{"name":"Gastroenterology Unit, Prince Henry's Hospital , Melbourne,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Hansky","sequence":"additional","affiliation":[{"name":"Gastroenterology Unit, Prince Henry's Hospital , Melbourne,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R D","family":"Marshall","sequence":"additional","affiliation":[{"name":"Gastroenterology Unit, Prince Henry's Hospital , Melbourne,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G S","family":"Peck","sequence":"additional","affiliation":[{"name":"Gastroenterology Unit, Prince Henry's Hospital , Melbourne,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W J","family":"McCann","sequence":"additional","affiliation":[{"name":"Gastroenterology Unit, Prince Henry's Hospital , Melbourne,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1979,9,1]]},"reference":[{"key":"2024092709451671100_bib1","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1111\/j.1445-2197.1976.tb03210.x","article-title":"Haematemesis and melaena\u2014surgical management","volume":"46","author":"Bambach","year":"1976","journal-title":"Aust. NZ J. Surg."},{"key":"2024092709451671100_bib2","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1136\/bmj.1.5532.80","article-title":"Conservative surgery for bleeding peptic ulcer","volume":"1","author":"Carruthers","year":"1967","journal-title":"Br. Med. J."},{"key":"2024092709451671100_bib3","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1002\/bjs.1800650302","article-title":"Proximal gastric vagotomy without drainage for duodenal ulcer","volume":"65","author":"Goligher","year":"1978","journal-title":"Br. J. 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Surg."},{"key":"2024092709451671100_bib6","first-page":"448","article-title":"Upper gastrointestinal haemorrhage: aggressive management decreases mortality","volume":"64","author":"Himal","year":"1978","journal-title":"Surgery"},{"key":"2024092709451671100_bib7","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1097\/00000658-197404000-00019","article-title":"The management of upper gastrointestinal haemorrhage","volume":"179","author":"Himal","year":"1974","journal-title":"Ann. Surg."},{"key":"2024092709451671100_bib8","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1111\/j.1445-2197.1978.tb07292.x","article-title":"Mortality trends in the surgical management of chronic peptic ulceration","volume":"48","author":"Hunt","year":"1978","journal-title":"Aust. NZ J. Surg."},{"key":"2024092709451671100_bib9","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1136\/bmj.3.5882.660","article-title":"Further haemorrhage after admission to hospital for gastrointestinal haemorrhage","volume":"3","author":"Jones","year":"1973","journal-title":"Br. Med. J."},{"key":"2024092709451671100_bib10","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1136\/bmj.2.5700.7","article-title":"Haematemesis and melaena with special reference to factors influencing outcome","volume":"2","author":"Schiller","year":"1970","journal-title":"Br. Med. J."},{"key":"2024092709451671100_bib11","doi-asserted-by":"crossref","first-page":"362","DOI":"10.5694\/j.1326-5377.1977.tb130730.x","article-title":"The experience of a haematemesis and melaena unit","volume":"1","author":"Sereda","year":"1977","journal-title":"Med. J. Aust."}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800660911","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/66\/9\/633\/59368491\/bjs1800660911.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/66\/9\/633\/59368491\/bjs1800660911.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T09:45:28Z","timestamp":1727430328000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/66\/9\/633\/6185268"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1979,9,1]]},"references-count":11,"journal-issue":{"issue":"9","published-online":{"date-parts":[[1979,9,1]]},"published-print":{"date-parts":[[1979,9,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800660911","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"type":"print","value":"0007-1323"},{"type":"electronic","value":"1365-2168"}],"subject":[],"published-other":{"date-parts":[[1979,9]]},"published":{"date-parts":[[1979,9,1]]}}}