Treatment-related acute gastric bleeding managed successfully with surgical devascularization.

Background And Objectives: Patients with gastric lymphoma treated by chemotherapy or radiation therapy are at high risk of developing complications, most commonly perforation or bleeding. In any case of upper gastrointestinal tract bleeding during conservative treatment for gastric lymphoma, thorough investigation is required to exclude other causes of hemorrhage which could be managed appropriately. When the source of bleeding is the tumor, the only effective measure is resection of the stomach, a very dangerous operation in these poor-risk patients.

Subxiphoidal pericardial 'window' in the management of malignant pericardial effusion.

Over the last 5 years, 26 cancer patients developed pericardial effusion and were managed surgically with the creation of a subxiphoidal pericardial 'window'. The operation, in the majority of the cases was performed under local anaesthesia with adequate sedation. It was found to be safe and easy to perform.