Abstract
To the Editor.— In suitable cases gastric bleeding points may be effectively effulgurated, with satisfactory control of severe hemorrhage. Report of a Case.— A 63-year-old man was admitted on Feb 20,1966, with a history of increasing dysphagia and weight loss. Barium swallow, esophagoscopy, and scalene node biopsy confirmed the diagnosis of inoperable squamous cell carcinoma in the mid portion of the esophagus. Roentgenographic therapy was started after producing a feeding gastrostomy. Following administration of 4,035 rads in 31 days, the patient suddenly experienced massive gastrointestinal hemorrhage and the hemoglobin level fell to 4.1 gm/100 ml. Studies confirmed hemorrhage from the stomach, and a large ulceration of the lesser curvature. In spite of the usual procedures for control of gastric hemorrhage, persistent bleeding required transfusion of 8 units of blood over a 24-hour period. Examination of the stomach with a cystoscope passed through the gastrostomy, revealed a large ulcer of the
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