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THE BLEEDING MARGINAL ULCER

CATHETERIZATION DIAGNOSIS AND THERAPY

ALFRED ROSENBAUM M.D.1, STANLEY S. SIEGELMAN M.D.2, and SEYMOUR SPRAYREGEN M.D.3

1 Assistant Clinical Professor of Radiology, Albert Einstein College of Medicine, Bronx, New York.
2 Professor of Radiology, Johns Hopkins Medical School, Baltimore, Maryland.
3 Associate Professor of Radiology, Albert Einstein College of Medicine, Bronx, New York.

Superior mesenteric arteriography can often demonstrate actively bleeding marginal ulcers. Five cases diagnosed by angiography are reported.

Pitressin infusions of the superior mesenteric artery stopped bleeding permanently in two cases, transiently in two cases, and was not attempted in one case. Pitressin infusions of the superior mesenteric artery should be attempted before surgery is performed for bleeding marginal ulcers.


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