A case report of laparoscopy- assisted distal gastrectomy for the treatment of refractory recurrent gastric bleeding in a patient with hereditary hemorrhagic telangiectasia Yuhei WAKI 1 , Shigehiko YAGI 1 , Makoto SHIRAI 1 , Koji SUGIMOTO 1 , Kazunori TOKUDA 1 , Masamitsu HARADA 1 1Department of Gastroenterological Surgery, Ehime Prefectural Central Hospital Keyword: 遺伝性出血性毛細血管拡張症 , 腹腔鏡補助下手術 , 消化管出血 pp.615-620
Published Date 2015/11/15
DOI https://doi.org/10.11477/mf.4426200190
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A 78-year-old man who was diagnosed as having hereditary hemorrhagic telangiectasia(HHT) thirty-five years ago, had repeated gastric bleeding for five years. Because endoscopic hemostasis and blood transfusion were performed frequently to control the bleeding, the patient consulted us for possible indication of surgical treatment. Upper gastrointestinal endoscopy showed angioectasia in the entire stomach mucosa and bleeding in the lesser curvature of the lower gastric body. We performed laparoscopy-assisted distal gastrectomy(LADG) and Roux-en Y reconstruction for refractory recurrent gastric bleeding. The patient was discharged 12 days after surgery without any complications. There have been only a few reported cases of HHT with refractory recurrent gastric bleeding treated by LADG, one of the choices for surgical treatment of HHT.

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