Year 2023 / Volume 115 / Number 6
Letter
Upper digestive bleeding secondary to duodenal infiltration due to pancreatic cancer: a therapeutic challenge

346

DOI: 10.17235/reed.2023.9738/2023

José García Flores, Manuel Sánchez Cánovas, Emilio Torrella Cortés,

Abstract
A 68-year-old woman with stage IV pancreatic adenocarcinoma (liver and lymph node metastases) on first-line treatment with gemcitabine. As a non-oncological comorbidity, the patient was anticoagulated with enoxaparin 8000 IU/24 hours because she had a mitral valve prosthesis. The patient made a medical consultation for presenting vomits which looked like coffee grounds and melaena. In the complete blood count, a hemoglobin of 7.5 g/dL was detected. Transfusion support, pantoprazole infusion (80 mg in 500 cc of 0.9% SSF every 12 hours) and parenteral nutrition were prescribed. Tranexamic was not prescribed due to the patient's cardiological history.
Share Button
New comment
Comments
No comments for this article
References
1. American Society for Gastrointestinal Endoscopy. The role of endoscopy in the management of acute non-variceal upper GI bleeding. Gastrointestinal Endoscopy. Volumen 75, número 6, 1132-1138, Junio 2012.
2. Tey J, Soon YY, Koh WY, Leong CN, Choo BA, Ho F, Vellayappan B, Lim K, Tham IW. Palliative radiotherapy for gastric cancer: a systematic review and meta-analysis. Oncotarget. 2017 Apr 11;8(15):25797-25805. doi: 10.18632/oncotarget.15554. PMID: 28445941; PMCID: PMC5421969.
3. Lutz ST, Jones J, Chow E. Role of radiation therapy in palliative care of the patient with cancer. J Clin Oncol. 2014 Sep 10;32(26):2913-9. doi: 10.1200/JCO.2014.55.1143. Epub 2014 Aug 11. PMID: 25113773; PMCID: PMC4152720.
4. Taveira F, Magalhães JP, Brito D. Duodenal lymphangiectasias - The first sign of pancreatic adenocarcinoma. Rev Esp Enferm Dig. 2021 Sep;113(9):684. doi: 10.17235/reed.2021.7823/2021. PMID: 33569966.
Related articles

Letter

Upper gastrointestinal bleeding and Rigler triad

DOI: 10.17235/reed.2023.9731/2023

Letter

A full hemostatic repertoire in a complex cirrhotic patient

DOI: 10.17235/reed.2022.9039/2022

Digestive Diseases Image

Bezoar: an uncommon cause of upper gastrointestinal bleeding

DOI: 10.17235/reed.2021.8311/2021

Letter

COVID-19 and aorto-enteric fistula

DOI: 10.17235/reed.2021.8272/2021

Letter to the Editor

Gangliocytic paraganglioma: an unusual cause of upper gastrointestinal bleeding

DOI: 10.17235/reed.2017.4808/2016

Case Report

Downhill varices: an uncommon cause of upper gastrointestinal bleeding

DOI: 10.17235/reed.2015.3697/2015

Letter to the Editor

Synchronic gastric and pancreatic ductal adenocarcinoma. A case report

DOI: 10.17235/reed.2015.3720/2014

Citation tools
García Flores J, Sánchez Cánovas M, Torrella Cortés E. Upper digestive bleeding secondary to duodenal infiltration due to pancreatic cancer: a therapeutic challenge. 9738/2023


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 1250 visits.
This article has been downloaded 128 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 22/05/2023

Accepted: 23/05/2023

Online First: 26/05/2023

Published: 06/06/2023

Article Online First time: 4 days

Article editing time: 15 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology