Abstract:

Gastric cancer with acute hemorrhage is one of the criticalhallenging emergency of advanced gastric cancer. Preoperative Tumor staging and resectability should be fully evaluated by mMulti-disciplinary discussions including Gastroenterology, Surgery, Pharmacy, Radiological Intervention and Intensive care Medicine before surgery should be conducted to comprehensively evaluate tumor staging and resectability under the condition of ensuring the patient's vital signs.to ensure the patient's vital signs. Endoscopy is effective in diagnosing and treating of gastric cancer with acute massive hemorrhage. Surgical surgery is the only remedy for poor or failed non-surgical therapy, and Some patients required surgical treatment when it was impossible to achieve hemostasis by pharmacotherapy and endoscopy or if rebleeding occurred where the conservative treatment had failed, surgical treatment should be appropriate selected base on the location of tumor and staging. The benefits of extended radical mastectomy combined with multiple organ resection are worth further exploration and experience.

Key words: Stomach neoplasms, Hemorrhage, Surgical procedures, operative, Acute massive gastrointestinal bleeding