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.

Methods: We treated 3 consecutive patients with life-threatening gastric bleeding from lymphoma treated by chemotherapy.

Results: We successfully controlled the hemorrhage by surgical devascularization.

Conclusion: Devascularization of the involved part of the stomach is safe and effective.