Treatment-related acute gastric bleeding managed successfully with surgical devascularization.
OBJECTIVE
Patients with gastric lymphoma treated by chemotherapy or radiation therapy are at high risk of developing complications, most commonly perforation or bleeding. In any case of upper gastrointestinal tract bleeding during conservative treatment for gastric lymphoma, thorough investigation is required to exclude other causes of hemorrhage which could be managed appropriately. When the source of bleeding is the tumor, the only effective measure is resection of the stomach, a very dangerous operation in these poor-risk patients.


METHODS
We treated 3 consecutive patients with life-threatening gastric bleeding from lymphoma treated by chemotherapy.


RESULTS
We successfully controlled the hemorrhage by surgical devascularization.


CONCLUSIONS
Devascularization of the involved part of the stomach is safe and effective.
Kelessis
N G
NG
1st Surgical Oncology Clinic, Saint-Savvas Anticancer Hospital, Athens, Greece.
Vassilopoulos
P P
PP
Lambrinakis
P M
PM
Zissis
C G
CG
Efremidou
A I
AI
D000208:Acute Disease; D000328:Adult; D000970:Antineoplastic Agents / Q000009:adverse effects*; D005260:Female; D005743:Gastrectomy; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology; D008207:Lymphatic Metastasis; D008228:Lymphoma, Non-Hodgkin / Q000188:drug therapy* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D013270:Stomach / Q000098:blood supply*; D013272:Stomach Diseases / Q000209:etiology / Q000601:surgery*; D013274:Stomach Neoplasms / Q000098:blood supply / Q000188:drug therapy* / Q000473:pathology
D000970:Antineoplastic Agents