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Successful endoscopic hemostasis for gastric arterial bleeding due to invasion of malignant lymphoma |
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| 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 |
| Affiliation: | 1. Masafumi Taniwaki,Molecular Hematology and Oncology, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto, Japan 2. Masafumi Taniwaki,Molecular Hematology and Oncology, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto, Japan;Clinical Molecular Genetics and Laboratory Medicine, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto, Japan 3. Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto, Japan 4. Masafumi Taniwaki,Molecular Hematology and Oncology, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto, Japan;Inflammation and Immunology, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto,Japan 5. Department of Urology, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto, Japan 6. Clinical Molecular Genetics and Laboratory Medicine, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto, Japan |
| 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. |
| Keywords: | Malignant lymphoma Endoscopic hemostasis Pure ethanol injection Hemostatic clips |
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