title: [A case of massive perioperative bleeding in a patient on two-drug antiplatelet therapy undergoing abdominal surgery].
abstract: We report a patient on two-drug antiplatelet therapy who underwent total gastrectomy, and developed massive perioperative bleeding. The operation was performed seven months after the placement of a drug-eluting stent (DES) for unstable angina. In perioperative care of patients with placed DES, we need to remember the risks of stent thrombosis and hemorrhagic complications, and consider the withdrawal of the antiplatelet drugs.
authors.affiliation: Department of Anesthesiology, Niigata University Medical and Dental Hospital, Niigata 951-8520.
authors.forename: Yuriko
authors.initials: Y
authors.lastname: Imao
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Ogawa
authors.forename: Takashi
authors.initials: T
authors.lastname: Abe
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Kumagai
mesh_terms: D000368:Aged; D054855:Drug-Eluting Stents / Q000009:adverse effects*; D005743:Gastrectomy; D006470:Hemorrhage / Q000139:chemically induced*; D006801:Humans; D008297:Male; D059035:Perioperative Period; D010975:Platelet Aggregation Inhibitors / Q000008:administration & dosage* / Q000009:adverse effects*
chemical_list: D010975:Platelet Aggregation Inhibitors