Journal of Gastrointestinal Cancer

, Volume 50, Issue 4, pp 955–959 | Cite as

Two Sessions of Radiotherapy Were Successful in Treating Gastric Cancer with Bleeding

  • Osamu TanakaEmail author
  • Makoto Yamada
  • Tomohiro Kato
  • Takuya Taniguchi
  • Kousei Ono
  • Masayuki Matsuo
Case Report


The radical treatment for gastric cancer, which accounts for the highest malignancy-related morbidity in Japan, is surgery, and chemotherapy is often provided in addition to surgical treatment [1, 2, 3, 4, 5]. On the other hand, in Europe and America, chemoradiotherapy is often provided after and/or before perioperative therapy.

Radiotherapy is a well-known treatment option to achieve hemostasis in patients with bleeding organs [1, 2, 6, 7, 8, 9, 10, 11], the most common of which are the esophagus, stomach, colon (rectum), bronchus, and uterus. However, the optimal protocol of radiotherapy is not established. The protocol followed in Murakami Memorial Hospital to treat gastric cancer cases with organ bleeding is as follows: to initially irradiate the entire organ at 20 Gy/5 fractions. In cases that rebleed, 3–5 clips are placed endoscopically near the tumor and salvage radiation of the bleeding site at 15 Gy/5 fractions is performed [12]. Herein, we report a case of...


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.


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© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Radiation OncologyMurakami Memorial HospitalGifu cityJapan
  2. 2.Department of SurgeryGifu Municipal HospitalGifu cityJapan
  3. 3.Department of GastroenterologyGifu Municipal HospitalGifu cityJapan
  4. 4.Department of RadiologyGifu University School of MedicineGifu cityJapan

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