0
ARTICLE |

Gastric Necrosis Due to Prolonged Local Gastric Hypothermia

Joseph R. Cali, MD; John P. Glaubitz, MD; Ray S. Crampton, MD
JAMA. 1965;191(10):858-859. doi:10.1001/jama.1965.03080100076025.
Text Size: A A A
Published online

SINCE THE original observations made by Wangensteen et al1 in 1958 on the effect of gastric freezing and hypothermia on gastric secretion, considerable clinical experience has been obtained with these two modalities of therapy.

Gastric freezing has been used widely in the treatment of duodenal ulcers, with varying results.2,3 Inflow temperatures have varied from —10 C to —20 C, and freezing has been carried out for 45 minutes to one hour. Numerous complications, such as gastric ulcers and varying degrees of gastric necrosis, have been reported4 and are considered directly attributable to the low temperatures employed.

In contrast, gastric hypothermia has been used in the management of massive upper gastro intestinal hemorrhage with very promising results.5-7 The inflow temperatures used in this latter modality have varied between +2 C to +6 C for periods averaging approximately 48 hours.

Since Jan 1, 1963, a program using gastric

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();