A CASE OF HEMORRHAGIC RADIATION-INDUCED GASTRITIS REQUIRING GASTRECTOMY AFTER FAILURE OF ENDOSCOPIC HEMOSTASIS

Abstract

A 72-year-old female had a metallic stent placed combined with radiation therapy for hilar bile duct cancer, and had been undergoing systemic chemotherapy. She was transferred to our hospital for hematemesis. Upper GI endoscopic examination revealed regional edematous mucosa on the posterior wall of the gastric antrum, and widespread bleeding was found. A diagnosis of radiation gastritis was made, and endoscopic procedures were repeated. However, as it was difficult to establish hemostasis, a distal gastrectomy was performed. Although radiation gastritis is rare, it should be considered when gastrointestinal hemorrhage occurs in a patient with a history of upper abdominal radiotherapy.