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.
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References
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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


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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


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