A 65-year-old man visited our hospital because of hematemesis. Endoscopic examination revealed a hemorrhagic gastric ulcer in the upper body of the stomach and also type IIc and type II a early gastric cancer. We performed total gastrectomy with a Roux-en-Y reconstruction. Thus, in cases of hematemesis originating from a stomach lesion, it is extremely important to closely examine not only the lesion itself, but also regions other than the lesion, especially in the anal aspect of the stomach, during endoscopy1).
