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Mortality from bleeding peptic ulcer: Alfred Hospital, Melbourne, 1976‐1980
Author(s) -
McDermott Francis T.
Publication year - 1985
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.1985.tb113274.x
Subject(s) - duodenitis , medicine , gastritis , peptic , mortality rate , gastroenterology , surgery , peptic ulcer , duodenal ulcer , helicobacter pylori
Of 682 patients (755 admissions) who were admitted to hospital with bleeding peptic ulcers or erosive gastritis‐duodenitis during a five‐year period, 92 died (12% of admissions). In 70% of admissions to hospital, the patients were aged 50 years or older. The overall mortality rates were 13% in patients with bleeding gastric ulcers; 12% in those with duodenal ulcers; and 11% in those with gastritis‐duodenitis. Fourteen per cent of patients with bleeding gastric ulcers, 21% of those with duodenal ulcers, and 4% of those with erosive gastritis‐duodenitis had undergone surgery. Ten of 92 deaths (11%) occurred after the operation; of these, only one patient who died was aged less than 50 years. The postoperative mortality rates were 8% in patients with bleeding gastric ulcers, and 12% in those with duodenal ulcers; there were no deaths after operation for gastritis‐duodenitis. Whereas the 13% overall mortality rate in patients with bleeding gastric ulcers closely resembled that found in other series, the 12% overall mortality rate in patients with bleeding duodenal ulcers was about twice that reported in recent British and Australian series.