Copyright
©The Author(s) 2005. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jul 21, 2005; 11(27): 4285-4286
Published online Jul 21, 2005. doi: 10.3748/wjg.v11.i27.4285
Published online Jul 21, 2005. doi: 10.3748/wjg.v11.i27.4285
Successful endoscopic hemostasis for gastric arterial bleeding due to invasion of malignant lymphoma
Kenichi Nomura, Shinya Yamada, Daisuke Shimizu, Yuri Kamitsuji, Yosuke Matsumoto, Shigeo Horiike, Masafumi Taniwaki, Molecular Hematology and Oncology, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto, Japan Yuri Kamitsuji, Inflammation and Immunology, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto, Japan
Takashi Okuda, Naohisa Yoshida, Naoki Wakabayashi, Takeshi Okanoue, Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto, Japan
Kazuya Mikami, Department of Urology, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto, Japan
Daisuke Shimizu, Masafumi Taniwaki, Clinical Molecular Genetics and Laboratory Medicine, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto, Japan
Author contributions: All authors contributed equally to the work.
Correspondence to: Kenichi Nomura, MD, PhD, Molecular Hematology and Oncology, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto, 602-0841, Japan. nomuken@sun.kpu-m.ac.jp
Telephone: +81-75-251-5521 Fax: +81-75-251-0710
Received: September 23, 2004
Revised: October 10, 2004
Accepted: October 13, 2004
Published online: July 21, 2005
Revised: October 10, 2004
Accepted: October 13, 2004
Published online: July 21, 2005
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.