The patient is Ms. N.T. D. (born in 1959, Lam Dong province), admitted to the Emergency and Resuscitation Department, Gia Dinh People's Hospital facility 2 on January 28, 2026 in a state of blood loss shock, severe gastrointestinal bleeding.
Here, through digestive endoscopy, doctors recorded ulcers in the gastric body area, high risk of recurrent bleeding on the background of severe damage to the entire stomach suspected of being cancer, unable to stop bleeding through endoscopy. The patient has many severe underlying conditions accompanied by: high blood pressure, atrial fibrillation, heart failure... The nutritional condition is very poor, significantly increasing the risk of complications during and after surgery.
Assoc. Prof. Dr. Mai Phan Tuong Anh, Deputy Director of Gia Dinh People's Hospital, directed an inter-specialized consultation and agreed to indicate semi-urgent surgery to handle the source of bleeding and remove suspected cancer lesions.
The postoperative specimen evaluation results recorded a large ulcer injury in the stomach body, with a size of about 10cm x 10cm, the entire stomach was infected and stiff, consistent with malignant lesions, requiring a complete stomach removal. The postoperative stage requires close monitoring because it is necessary to balance the risk of blood clots from cardiovascular disease and the risk of postoperative bleeding, while optimizing nutrition to minimize the risk of digestive regurgitation.
After 10 days of post-operative treatment, the patient recovered well, ate appropriately, vital signs were stable and was about to be discharged from the hospital.
According to BS.CKI Nguyen Van Cao, Department of General Surgery, Gia Dinh People's Hospital, facility 2, cases of gastrointestinal bleeding on the background of stomach cancer accompanied by many cardiovascular diseases and malnutrition have a very high risk of complications and surgical death.
After surgery to remove the entire stomach, in the near future, Ms. D. will continue to receive chemotherapy according to a suitable regimen. Through this case, doctors recommend that people should proactively screen for cancer early to detect and treat it promptly, improve treatment effectiveness and quality of life.
