Related Experiment Video
Updated: Aug 7, 2026
10:05
Techniques of Sleeve Gastrectomy and Modified Roux-en-Y Gastric Bypass in Mice
Published on: March 20, 2017
Blind total gastrectomy for massive bleeding from the stomach
The British Journal of Surgery
|November 1, 1986
Summary
Total gastrectomy is a viable last resort for severe gastric bleeding when other methods fail. This surgery provided good outcomes for patients with life-threatening, non-variceal stomach hemorrhage.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Massive gastric hemorrhage can be challenging to diagnose, even with advanced imaging like endoscopy and angiography.
- Non-variceal upper gastrointestinal bleeding necessitates effective interventions when conservative measures are insufficient.
Observation:
- Six patients with persistent, massive gastric bleeding, unresponsive to initial diagnostics, underwent total gastrectomy.
- Diagnoses included submucosal arteriovenous malformations, erosive gastritis, and an ulcer at the gastroesophageal junction.
Findings:
- Total gastrectomy was required for life-threatening gastric hemorrhage when the source remained unidentified.
- Post-surgical outcomes were favorable, with no recurrence of bleeding in surviving patients.
Implications:
- Total gastrectomy serves as a critical, albeit last-resort, surgical option for intractable gastric bleeding.
- This procedure can lead to good functional recovery and prevent rebleeding in select patient populations.
