DOI: https://doi.org/10.36347/sasjs.2026.v12i09.010

Pages: 791-794

Introduction: Upper gastrointestinal bleeding, defined as bleeding originating proximal to the duodenojejunal flexure, constitutes a major medical and surgical emergency. Although therapeutic endoscopy and pharmacological treatment are the current mainstays of management, surgery retains a fundamental role when these approaches fail or are unavailable. The objective of this case series was to report three cases of upper gastrointestinal bleeding managed surgically at Bouaké University Hospital and to discuss the indications and modalities of surgical treatment. Patients and Methods: This case series analysis was conducted in the Department of General and Digestive Surgery at Bouaké University Hospital, Côte d'Ivoire, and included patients who underwent surgery for upper gastrointestinal bleeding that could not be controlled by well-conducted medical treatment, based on a review of historical hospital records from 2023 to 2025. Results: Three patients (two men aged 45 and 57 years, and one woman aged 38 years), transferred from the gastroenterology department, were included. All presented with hemodynamic instability or recurrent bleeding. Upper gastrointestinal endoscopy revealed a duodenal ulcer in two cases and a gastric tumor in one case. The first two patients underwent ligation of the gastroduodenal artery. The third patient required a total hemostatic gastrectomy with esophagojejunal anastomosis. The short-term outcome was satisfactory for all patients. Conclusion: Hemostatic surgery remains a valuable and highly effective alternative when conservative treatment fails, particularly in resource-limited settings in sub-Saharan Africa.