Severe stomach bleeding requires gastrectomy or not?

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Question
Hello doctor,
The doctor asked me if I have severe stomach bleeding, I have to have a gastrectomy or not? How long does the surgery take? I thank you doctor.
Anonymous client
Answer
Answered by Master, Doctor Nguyen Thai Binh - Gastroenterologist - General Surgery Department, Vinmec Ha Long International General Hospital.
Hello,
With the question “Does severe stomach bleeding require gastrectomy or not? ", the doctor would like to answer as follows:
Stomach bleeding has many causes such as: peptic ulcer, acute gastric mucosal inflammation caused by some common drugs such as anti-inflammatory analgesics, cancer The degree of blood loss is severe or mild depending on the disease that the patient has, early or late detection,...
Currently, gastric bypass surgery for bleeding cases The stomach is increasingly narrowed due to highly effective drugs for treating gastric ulcers, and endoscopic hemostatic interventions are increasingly developed. Therefore, doctors reserve the surgical treatment of gastrectomy only for bleeding cases due to gastric cancer or bleeding cases due to benign diseases that do not respond to medical or interventional treatment. Endoscopy card just failed.
In case of surgery, the time is about 1.5 to 2 hours for benign cases and about 2.5 to 3 hours for cancer cases because lymph node dissection is still required. However, in fact, if you yourself or you have a family member with stomach bleeding, you should take your loved one to the gastroenterology specialist of the Vinmec system closest to your home to be examined and carried out tests. diagnostics using the most modern advanced equipment and consulting treatment by experienced and qualified experts.
If you still have questions about severe stomach bleeding that requires gastrectomy or not, you can go to the hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!

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