Open AccessManagement of severe anemia in Jehovah's witness patient with gastrointestinal hemorrhage: Case report
Author(s) -
Dušica Stamenković,
D Tomislav Randjelovic,
Sava Zoric,
Dragoljub Bilanović,
S. Basara
Publication year - 2002
Publication title -
acta chirurgica iugoslavica
Language(s) - English
Resource type - Journals
eISSN - 2406-0887
pISSN - 0354-950X
DOI - 10.2298/aci0201073s
Subject(s) - medicine , surgery , hemostasis , blood transfusion , anemia , blood loss , gastrointestinal bleeding , upper gastrointestinal bleeding , endoscopy
This case report discribes the treatment of 67-year-old Jehovah's Witness with severe anemia and gastrointestinal haemorrhage from gastric leiomyoma and peptic ulcer. Minimal invasive surgery with meticulous hemostasis, controlled hypotension, hyperoxic normovolemia and normotermia were main principles. Minimal blood samples for necessary laboratory parameters and noninvasive onitoring were ways to decrease iatrogenic blood loss. The operative and postoperative period were uneventful and well tolerated. The patient was discharged home after eighteen days and well in follow up period.