Carcinomas Gástricos com Hemorragia ou Perfuração: Uma Retrospecção com 44 casos

Authors

  • Clóvis Massayuki Kobata Disciplina de Gastroenterologia cirúrgica da Escola de Medicina. Hospital São Paulo. São Paulo (SP), Brasil
  • Nelson Yukitoshi Sato Disciplina de Gastroenterologia cirúrgica da Escola de Medicina. Hospital São Paulo. São Paulo (SP), Brasil
  • Mário da Silva Monteiro Disciplina de Gastroenterologia cirúrgica da Escola de Medicina. Hospital São Paulo. São Paulo (SP), Brasil
  • Jesus Pan Chacon Disciplina de Gastroenterologia cirúrgica da Escola de Medicina. Hospital São Paulo. São Paulo (SP), Brasil

DOI:

https://doi.org/10.32635/2176-9745.RBC.1987v33n3.3211

Keywords:

Gastric Carcinoma, Complications of Gastric Carcinoma, Haemorrhagic Gastric Carcinoma, Perforated Gastric Carcinoma

Abstract

The overall mortality rate was 25.0% for44 complicated gastric carcinoma (haemorrhage or perforation). The operative mortality was 27.3% related to haemorrhagic complications and 44.4% to perforations. Total gastrectomies were performed in 7 patients and subtotal resections in another 21 patients. The resectability was 68.3%. These uncommon complications of gastric carcinoma are discussed and the literature data prove the poor surviving prediction even if resections were realized.

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References

Ballesteros JA, Gaya J, Company J, Obrador A, Fe A, Benet J, Velasco J – Hemorragia digestiva alta. Análisis de 1000 casos. Ver. Clin. Esp. 1984; 173 37-40

Chacon JP, Kobata CM, Goldenberg A, Lourenço LG - Câncer gástrico: lesões e condições pré-malignas. ln. Prado PC, Ramos .1, Valia JR do - Atualização terapêutica. São Paulo. Artes Médicas, 1985: 237-240.

Cortese AF, Zahn D, Coroei GN - Perforation in gastric malignancy. i Surg Oncol, 1972; 4' 190-206 DOI: https://doi.org/10.1002/jso.2930040304

Dolmans WMV, Mbaga IM, Mwakyusa OH - Diagnostic yield of endoscopy in upper gastrointestinal bleeding. Trop Geogr Mcd, 1983, 35-173-178.

Dombal FT, Clarke iR, Clamp SE, Malizia G, Kotwsl MR, Morgan AO - Prognotic factors lo upper G.i. bleeding. Endoscopy, 1986; 18 6-10 DOI: https://doi.org/10.1055/s-2007-1018418

Domschke W, Lederer A, Lua G - The value of emergency endoscopy in upper gastrointestinal bleeding: review and analysis of 2014 cases. Endoscopy, 1983, 15: 126-131. DOI: https://doi.org/10.1055/s-2007-1021486

Farges O, Champault G, Trinchet JC, Boutelier PR - Qu'attendre de l'endoscopie dans les hémorragies digestives hautes5 Chirurgie, 1985; 111: 480-487.

Gaio R, Castell E, Puig-Lacalie i - Massive upper gastrointestirial bleeding. Data

on 369 surgicaliy treated patients Am J Surg, 1980; 140. 639-641. DOI: https://doi.org/10.1007/BF02259969

Giibert DA, Silverstein P6, Tedesco FJ - Nationai ASGE survey on upper gastrointestinal bleeding complications of endoscopy. Dig di Sci, 1981; 26:55s-59s. DOI: https://doi.org/10.1007/BF01300808

Heimlich Hi The treatment of perforated cancer of lhe stomach Am J Gastroenterol, 1963, 39: 243-251.

Hunt AS, Hansky J, Korman M - Bleeding carcinomatous ulcer of lhe stomach. Med J Ausl, 1982; 1:494. DOI: https://doi.org/10.5694/j.1326-5377.1982.tb124158.x

Kobala CM, Chacon JP, Herani Filho B, SaIo NY, Camporini MG – Hemorragia digestiva alta lo Prado PC, Ramos J, Valia iR do - Atualização terapêutica São Paulo. Artes Médicas, 1985: 243-246.

Larmi IKI - Perforalion of gastric carcinoma Acta Chir Scand, 1962, 123 222-227.

McNealy RW, Hedin Ah- Perforation in gastric carcinoma: a study and report of 133 cases Surg Gynecol ObsteI, 19381 67. 818-823.

Montero VF, Lisbona RG – Gastrorragia grave por carcinoma gástrico “In Situ”. Ver. Esp. Ap. Dig. 1971: 34: 405-412.

Morissey JF - Clinical approach to diagnostic endoscopy in patients wilh upper gastrointestinal bleeding. Dig Dis Sci, 1981; 26 65-lis DOI: https://doi.org/10.1007/BF01300799

Otero JP - Hemorragia gástrica por câncer Boi Soc Cir Uruguay, 1961; 32: 503-513

Papaevanqelou Ei, Sapkas AM - A twelve-year review of treatroent of massive gastroduodenal bleeding. World J Surg, 1980; 4: 353-356 DOI: https://doi.org/10.1007/BF02393404

Paredes JG, Aguilar JG, Varela AP, Palacios iS, Cruz FG, Sanchez JRLY - Utilidad dela ondoscopia de urgen:ia en eI diagnóstico do la hemorragia digestiva alta Rev Clin isp, 1982, 165 113-116,

Aosenherg D, Chacon JP, Saraiva iAM, Vianna PC, Faria PAJ - Resultados do tratamento cirúrgico do carcinoma do estômago. i Bras Mcd, 1965,9:843-900.

Roux M, iosl JL - Les complications dcx cancers de l'eslomac Mio Chir, 1981, 36: 1713-1714

Sege M, Ghous A, Delailande iA, Alesandre iH, Champauit G, Palel JC – Notre espérience clinique de dix cas de péritonite par perforation de cancer gastrique au cours de la dernière décenie. Ano Chirurgie, 1983, 37 355359

SaIo NY, Kobala CM, Camporini MG, Nakagawa Jr M, Chacon iA – Neoplasias malignas do estômago: tratamento cirúrgico das complicações Anais do Xiii Congresso Nacional do Colégio Internacional de Cirurgiões lema-livre, São Paulo, 1983.

Siegert TA, Donegan WL -. Acute perforation of gastric carcinoma. Wisconsin Mcd ,J, 1982; 8L 17-21

Souza iAG, Batista Filho GA, Ciarlini Am - Câncer gástrico complicado Anais do XVII Congresso Brasileiro de Cirurgia do Colégio Brasileiro de Cirurgiões. Tema-livre, Rio de Janeiro, 1985.

Waitzberg DL, Souza Jr AHS, Bresciani CJC et al - Câncer gástrico Análise da casuística diante do achado cirúrgico, lo Habr-Gama A, Gama-Rodrigues ii, Beltarelo A - Câncer do estõmago edo intestino grosso, Prevencão e detecção. São Paulo EPU, EDUSP, 1980.

Wilson IS -- Free perforation in malignancies of the stomach. Canad i Surg, 19661 9 357-364.

Published

2023-08-03

How to Cite

1.
Kobata CM, Sato NY, Monteiro M da S, Chacon JP. Carcinomas Gástricos com Hemorragia ou Perfuração: Uma Retrospecção com 44 casos. Rev. Bras. Cancerol. [Internet]. 2023 Aug. 3 [cited 2024 Nov. 22];33(3):227-30. Available from: https://rbc.inca.gov.br/index.php/revista/article/view/3211

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Section

ORIGINAL ARTICLE