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Abstract
A series of 225 patients with bleeding gastric ulcers is reviewed. Mortality increased with age, but was significantly lower in that proportion of the 50–69 year group treated actively by surgery than in that treated conservatively. In the age group over 70 years, mortality was similar whatever the treatment − 33%. Approximately 50% of the mortality in each treatment group occurred in patients with symptoms of less than four weeks duration. Comparison of the results in the surgical group and the non-surgical group shows mortalities of respectively 4% and 8% in patients with haematemesis or melaena, and 10% and 24% in patients with both haematemesis and melaena. When patients were in shock, mortality was statistically significantly lower in the surgical group (16%), as compared with the nonsurgical group (48%).