title: [Upper gastrointestinal bleeding from a perforated gastric ulcer into left atrium, after esophageal resection and gastric replacement of the esophagus].
abstract: Using the stomach as a substitution after oesophagectomy is the most common method. The stomach brought intra thoracic it seems that maintains or regains its capacity to secrete hydrochloric acid and therefore can develop specific conditions, despite total denervation following bilateral troncular vagotomy. We are presenting the case of a young patient who was operated on for a corrosive esophagitis. She had an oesophagectomy and a transposition of the stomach to the posterior mediastinum and anastomosed to the cervical esophagus. She presents with upper gastro-intestinal bleeding from gastric ulcer penetrating into the left atrium.
authors.affiliation: Clinica a III-a Chirurgicală, Facultatea de Medicină, Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi.
authors.forename: Cr
authors.initials: C
authors.lastname: Bulat
authors.forename: A
authors.initials: A
authors.lastname: Grigorovici
authors.forename: D
authors.initials: D
authors.lastname: Timofte
authors.forename: L
authors.initials: L
authors.lastname: Bîşcă
authors.forename: S
authors.initials: S
authors.lastname: Doniga
authors.forename: Mihaela
authors.initials: M
authors.lastname: Damian
mesh_terms: D000328:Adult; D002057:Burns, Chemical / Q000601:surgery; D004944:Esophagoplasty / Q000009:adverse effects; D017809:Fatal Outcome; D005260:Female; D005402:Fistula / Q000209:etiology*; D005747:Gastric Fistula / Q000209:etiology*; D006325:Heart Atria; D006331:Heart Diseases / Q000209:etiology*; D006801:Humans; D010438:Peptic Ulcer Hemorrhage / Q000209:etiology* / Q000601:surgery; D013276:Stomach Ulcer / Q000150:complications* / Q000601:surgery