Upper digestive bleeding secondary to duodenal infiltration due to pancreatic cancer: a therapeutic challenge

Rev Esp Enferm Dig. 2023 May 26;115. doi: 10.17235/reed.2023.9738/2023. Online ahead of print.ABSTRACTA 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.PMID:37232169 | DOI:10.17235/reed.2023.9738/2023
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Authors: Source Type: research