Gastric devascularization in a neonate with massive upper GI bleeding: a case report and literature review

Severe upper gastrointestinal (UGI) bleeding in children is an uncommon but severe condition, with neonatal cases being rare. Herein, we described a 3-day-old boy with massive UGI bleeding due to diffuse hemorrhagic gastritis that was treated via gastric devascularization with a good outcome. We reviewed the literature on massive upper gastrointestinal bleeding in neonates retrieved from the PubMed database since 1977 and integrated the cases they reported. Based on the literature and our experience, gastric devascularization can serve as an alternative method for neonatal diffuse hemorrhagic gastritis.