Journal of Surgery

George J Joy

Publications

• Case Report
  Treatment of Bleeding Secondary to Gastric Metastases from Renal Cell Carcinoma Primary
  Author(s): Katherine M Guest, George J Joy, Robin Som and Rajab KerwatKatherine M Guest, George J Joy, Robin Som and Rajab Kerwat
  
  Gastric metastases from primary renal cell carcinoma (RCC) are uncommon, but not as rare as once thought. These metastases frequently present with upper gastrointestinal (UGI) bleeding. We report two such cases, and utilising lessons learnt from them, and from a literature review, propose a model of treatment for UGI bleeding secondary to metastases from RCC primaries. Both patients presented with clinically significant UGI bleeding secondary to RCC metastasis to the stomach. A literature search was conducted and a qualitative review of the published case reports and studies were undertaken. The two cases were discussed in a multi-disciplinary setting to plan management. One patient underwent gastric wedge resection; the second patient received palliative radiotherapy. Cessation of bleeding was achieved in both cases. A total of 48 cases were identified fr.. Read More»
  

  Abstract PDF