Peptic ulceration and gastrointestinal bleeding in pancreatitis.

This is the authors' abstract. We don't add key points for this paper.

EDITORIAL COMMENT Acute gastrointestinal bleeding has been present in 20% of this large series but in only a few of these can it be attributed to chronic peptic ulceration.The wide variety of causes is commented upon in this paper.Radiological evidence of peptic ulceration is not unusual in patients with pancreatitis.This, coupled with the not infrequent occurrence of gastrointestinal bleeding in pancreatitis, has led many to believe that a high incidence of peptic ulceration exists in patients with this condition (Warren and Cattell, 1959; Fitzgerald, Fitzgerald, Fennelly, McMullin, and Boland, 1963; Howard and Jordan, 1960; Zollinger, Elliot, Endahl, Grant, Goswitz, and Taft, 1962; Eyler, Clark, and Rian, 1962).Others, on the other hand, have reported a low incidence of ulceration in patients with pancreatitis (Marks and Bank, 1963).The purpose of the present paper is to re-examine the incidence of peptic ulceration in pancreatitis, to draw attention to the fact that the radiological changes in pancreatitis may mimic peptic ulceration, and to analyse the causes of gastrointestinal bleeding in patients with pancreatic disease.