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Case Reports
. 2005 Jul 21;11(27):4285-6.
doi: 10.3748/wjg.v11.i27.4285.

Successful endoscopic hemostasis for gastric arterial bleeding due to invasion of malignant lymphoma

Kenichi Nomura  1 , Shinya Yamada, Daisuke Shimizu, Takashi Okuda, Yuri Kamitsuji, Naohisa Yoshida, Yosuke Matsumoto, Naoki Wakabayashi, Kazuya Mikami, Shigeo Horiike, Takeshi Okanoue, Masafumi Taniwaki
Affiliations
Case Reports

Successful endoscopic hemostasis for gastric arterial bleeding due to invasion of malignant lymphoma

Kenichi Nomura et al. World J Gastroenterol. .

Abstract

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.

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Figures

Figure 1
Figure 1
Giant ulcer at cardia of stomach.
Figure 2
Figure 2
Emergency gastroscopy showed pulsatile arterial bleeding.
Figure 3
Figure 3
No bleeding was observed in the ulcer injected with ethanol.
See this image and copyright information in PMC

References

    1. Maor MH, Velasquez WS, Fuller LM, Silvermintz KB. Stomach conservation in stages IE and IIE gastric non-Hodgkin's lymphoma. J Clin Oncol. 1990;8:266–271. - PubMed
    1. Ferreri AJ, Cordio S, Ponzoni M, Villa E. Non-surgical treatment with primary chemotherapy, with or without radiation therapy, of stage I-II high-grade gastric lymphoma. Leuk Lymphoma. 1999;33:531–541. - PubMed
    1. Sakakura C, Hagiwara A, Nakanishi M, Yasuoka R, Shirasu M, Togawa T, Taniwaki M, Yamagishi H. Bowel perforation during chemotherapy for non-hodgkin's lymphoma. Hepatogastroenterology. 1999;46:3175–3177. - PubMed
    1. Exon DJ, Sydney Chung SC. Endoscopic therapy for upper gastrointestinal bleeding. Best Pract Res Clin Gastroenterol. 2004;18:77–98. - PubMed
    1. Asaki S. Tissue solidification in coping with digestive tract bleeding: hemostatic effect of local injection of 99.5% ethanol. Tohoku J Exp Med. 1981;134:223–227. - PubMed

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