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Endoscopy was not feasible due to a large intragastric haematoma, so surgical haemostasis was performed, revealing diffuse gastric erosion and multiple bleeding ulcers and the neonate recovered well postoperatively. This report shows that life-threatening bleeding can occur even in term neonates without identifiable risk factors. In cases of ongoing massive bleeding in which conservative and endoscopic management are unsuccessful or not feasible, surgical haemostasis may need to be considered.<\/jats:p>","DOI":"10.1136\/bcr-2026-272499","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T13:35:29Z","timestamp":1782221729000},"page":"e272499","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Upper gastrointestinal bleeding in a term neonate requiring haemostasis by laparotomy"],"prefix":"10.1136","volume":"19","author":[{"given":"Yu","family":"Yamamoto","sequence":"first","affiliation":[{"name":"Pediatrics, Kitano Hospital, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Mizumoto","sequence":"additional","affiliation":[{"name":"Pediatrics, Kitano Hospital, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroaki","family":"Fukuzawa","sequence":"additional","affiliation":[{"name":"Pediatric Surgery, Kitano Hospital, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,6,23]]},"reference":[{"key":"2026062306351122000_19.6.e272499.1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2002.05443.x"},{"key":"2026062306351122000_19.6.e272499.2","first-page":"1305","article-title":"Stress associated gastric bleeding in newborn--role of ranitidine","volume":"28","author":"Sarna","year":"1991","journal-title":"Indian Pediatr"},{"key":"2026062306351122000_19.6.e272499.3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.1986.tb01842.x"},{"key":"2026062306351122000_19.6.e272499.4","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-199201000-00013"},{"key":"2026062306351122000_19.6.e272499.5","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-106-4-562"},{"key":"2026062306351122000_19.6.e272499.6","doi-asserted-by":"publisher","DOI":"10.1007\/s001340051346"},{"key":"2026062306351122000_19.6.e272499.7","first-page":"377","article-title":"Acute hemorrhagic gastritis in the newborn infant","volume":"12","author":"Madan","year":"1992","journal-title":"J Perinatol"},{"key":"2026062306351122000_19.6.e272499.8","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198901123200201"},{"key":"2026062306351122000_19.6.e272499.9","first-page":"382","article-title":"Acute Helicobacter pylori infection in an infant, associated with gastric ulceration and serological evidence of intra-familial transmission","volume":"87","author":"Mitchell","year":"1992","journal-title":"Am J Gastroenterol"},{"key":"2026062306351122000_19.6.e272499.10","doi-asserted-by":"crossref","DOI":"10.3390\/jcm10040785","article-title":"Thrombin Is an Effective and Safe Therapy in the Management of Bleeding Gastric Varices. 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