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Related Experiment Videos

Acute haemorrhage from gastric malignancy.

W H Allum1, S Brearley, K E Wheatley

  • 1Department of Surgery, General Hospital, Birmingham, UK.

The British Journal of Surgery
|January 1, 1990
PubMed
Summary

Acute gastric bleeding in patients with cancer is often advanced (Stage IV) adenocarcinoma. Surgical resection offers improved survival, while unresectable tumors or supportive care yield poor outcomes.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Oncology

Background:

  • Gastric malignancies can present with acute bleeding, often indicating advanced disease.
  • Patients typically experience symptoms for less than six months before bleeding occurs.

Purpose of the Study:

  • To review the presentation, pathology, and treatment outcomes for patients with acute gastric bleeding due to malignancy.
  • To evaluate the impact of surgical intervention on survival in this patient cohort.

Main Methods:

  • Retrospective review of 30 patients with acute bleeding from gastric malignancies.
  • Analysis of patient demographics, tumor pathology, stage, location, treatment received, and survival data.

Main Results:

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  • Adenocarcinoma was the most common histology; 74% of lesions were Stage IV.
  • Gastric body tumors were more frequent than expected (57%).
  • Resection in 12 patients was associated with a median survival of 17.0 months, compared to 2.5 months for unresectable tumors or supportive care (P < 0.01).

    • Conclusions:

    • Acute gastric bleeding from malignancy frequently signifies advanced disease, particularly Stage IV adenocarcinoma.
    • Surgical resection significantly improves median survival for selected patients.
    • Peritoneal or liver involvement should preclude surgical intervention due to high postoperative mortality.