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 he...

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Bibliographic Details
Published in:World journal of gastroenterology : WJG 2005-07, Vol.11 (27), p.4285-4286
Main Authors: Nomura, Kenichi, Yamada, Shinya, Shimizu, Daisuke, Okuda, Takashi, Kamitsuji, Yuri, Yoshida, Naohisa, Matsumoto, Yosuke, Wakabayashi, Naoki, Mikami, Kazuya, Horiike, Shigeo, Okanoue, Takeshi, Taniwaki, Masafumi
Format: Article
Language:English
Subjects:
Aged
Antineoplastic Agents - therapeutic use
Case Report
Endoscopy, Gastrointestinal
Gastrointestinal Hemorrhage - etiology
Gastrointestinal Hemorrhage - surgery
Humans
Lymphoma - complications
Lymphoma - drug therapy
Male
Stomach Neoplasms - complications
Stomach Neoplasms - drug therapy
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Summary: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.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v11.i27.4285