XXXX . Review of 69 cases.

@entity1 @entity360 @entity11247 @entity548
The records of @entity1 treated for @entity360 from 1974 through 1978 were reviewed. Five percent of this group (69 @entity1 ) had @entity548 due to the @entity11247 . Only 36 percent of @entity1 had a correct admitting diagnosis. Esophagogastroscopy proved the most reliable diagnostic tool, with 94 percent of 63 @entity1 studied having the diagnosis of @entity11247 confirmed. Initial management was medical in all @entity1 . Twenty-one @entity1 (30 percent) required operative intervention. There was a good correlation between the transfusion requirement and the need for operation. There were two deaths in this series; both were considered preventable. The @entity11247 is common. Esophagogastroscopy performed early can result in a diagnostic accuracy rate of greater than 90 percent. Aggressive nonsurgical therapy after early diagnosis should continue to reduce the role of operation in the treatment of this condition. However, if @entity548 continues after initial medical management, or if @entity548 continues after 1,500 ml of blood is required, then surgical therapy should be instituted without delay.
