Abstract

An endoscopic study of the anatomic distribution of gastric erosions in patients with upper gastrointestinal bleeding and cancer indicated the following: hemorrhagic gastritis due to stress without associated gastric irritants primarily involves the proximal portion of the stomach; hemorrhagic gastritis due to gastric irritants alone involves primarily the distal rather than the proximal portion of the stomach and is unrelated to the type of gastric irritant; hemorrhagic gastritis due to the combination of stress and gastric irritants involves the stomach in a more generalized manner. When lesions are localized, they tend to occur more in the proximal than in the distal portion of the stomach. Coexisting potential bleeding sites in the esophagus and duodenum were not uncommon.

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