title: [A Case of Advanced Gastric Cancer Resected for Rebleeding after Palliative Radiotherapy for Hemostasis].
abstract: We report a case of advanced gastric cancer(AGC)that was resected for rebleeding after palliative radiotherapy for hemostasis. A 74-year-old man with Stage IV gastric cancer received chemotherapy and achieved stable disease. After 23 months, he experienced continuous bleeding from the tumor due to regrowth. Palliative radiotherapy was conducted to control the bleeding, and the tumor successfully achieved hemostasis. However, 6 weeks later, the patient experienced rebleeding and developed hemostatic shock. We then performed a successful emergency gastrectomy. Bleeding negatively affects quality of life in patients with AGC and is potentially lethal. Although palliative radiotherapy for bleeding of gastric cancer is a safe and useful treatment within a short time frame in cases of rebleeding, emergency gastrectomy may be necessary. Therefore, when we select this treatment, the possibility of subsequent surgical treatment must be considered.
authors.affiliation: Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences.
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Muneoka
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Ichikawa
authors.forename: Takashi
authors.initials: T
authors.lastname: Ishikawa
authors.forename: Takaaki
authors.initials: T
authors.lastname: Hanyu
authors.forename: Yu
authors.initials: Y
authors.lastname: Sato
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Kano
authors.forename: Kenji
authors.initials: K
authors.lastname: Usui
authors.forename: Takahiro
authors.initials: T
authors.lastname: Otani
authors.forename: Mariko
authors.initials: M
authors.lastname: Hishiki
authors.forename: Kohei
authors.initials: K
authors.lastname: Miura
authors.forename: Masayuki
authors.initials: M
authors.lastname: Nagahashi
authors.forename: Jun
authors.initials: J
authors.lastname: Sakata
authors.forename: Takashi
authors.initials: T
authors.lastname: Kobayashi
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Kameyama
authors.forename: Shinichi
authors.initials: S
authors.lastname: Kosugi
authors.forename: Toshifumi
authors.initials: T
authors.lastname: Wakai
mesh_terms: D000368:Aged; D005743:Gastrectomy; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery*; D006487:Hemostasis; D006801:Humans; D008297:Male; D010166:Palliative Care; D011832:Radiation Injuries / Q000601:surgery*; D011878:Radiotherapy / Q000009:adverse effects; D013274:Stomach Neoplasms / Q000532:radiotherapy / Q000601:surgery*