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Gan To Kagaku Ryoho. 2012 Nov;39(12):2298-300.

[Postoperative anastomotic hemorrhage after gastrectomy].

[Article in Japanese]

Author information

  • 1Dept. of Gastrointestinal Surgery, Kanagawa Cancer Center, Japan.



Postoperative anastomotic hemorrhage is a relatively rare complication. However, when it does occur, immediate treatment is needed.


In all, 1,700 patients underwent curative gastrectomy between 2000 and 2010. Anastomotic hemorrhage was observed in 9 patients after surgery. The clinical course of these 9 patients was analyzed.


The median age of the patients was 62 years, and all patients were men. Two patients underwent distal gastrectomy, 1 underwent laparoscopic distal gastrectomy, and 6 underwent total gastrectomy. Bleeding occurred as follows: 5 were at gastro- or esophagojejunostomic site, 2 were at gastroduodenostomic site, and 2 were at jejunojejunostomic site. Five patients received conservative treatment and 2 underwent re-operation. Two additional patients achieved complete hemostasis with endoscopic treatment. The patients who received endoscopic treatment were discharged earlier than those who received other treatments.


Endoscopic intervention was useful for the diagnosis and treatment of postoperative anastomotic hemorrhage.

[PubMed - indexed for MEDLINE]
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