Successful endoscopic hemostasis for gastric arterial bleeding due to invasion of malignant lymphoma.
A 75-year-old male with malignant lymphoma (ML) accompanied with gastric lesion was treated with combination chemotherapy. The patient produced tarry stool on the 4th d, and emergency gastroscopy showed arterial bleeding from the lesion. Hemostasis was achieved by injecting pure ethanol and using hemostatic clips. There is only one previous report on endoscopic hemostasis being effective for bleeding due to lymphoma. Since gastric bleeding causes significant mortality, endoscopic hemostasis should be considered as first-line treatment for ML patients who were treated with chemotherapy.
Nomura
Kenichi
K
Molecular Hematology and Oncology, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kamigyo-ku, Kyoto 602-0841, Japan. nomuken@sun.kpu-m.ac.jp
Yamada
Shinya
S
Shimizu
Daisuke
D
Okuda
Takashi
T
Kamitsuji
Yuri
Y
Yoshida
Naohisa
N
Matsumoto
Yosuke
Y
Wakabayashi
Naoki
N
Mikami
Kazuya
K
Horiike
Shigeo
S
Okanoue
Takeshi
T
Taniwaki
Masafumi
M
D000368:Aged; D000970:Antineoplastic Agents / Q000627:therapeutic use; D016099:Endoscopy, Gastrointestinal; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008223:Lymphoma / Q000150:complications* / Q000188:drug therapy; D008297:Male; D013274:Stomach Neoplasms / Q000150:complications* / Q000188:drug therapy
D000970:Antineoplastic Agents