Ulcers, blood, postoperative complications: Fedez and the second gastroscopy after hospitalization at Sacco in Milan

How is Fedez? “A little better, mediocre.” That’s what his mother Annamaria Berrinzaghi said as she entered the Sacco-Fatebenefratelli hospital in Milan. The joke, said at 7 p.m. in La Stampa, comes after the news of the rapper’s return to the operating room. The reason? Another urgent gastroscopy, again to stop the bleeding from another ulcer. What made doctors suspicious was a sudden drop in blood counts: the indicator that recovery was not going in the right direction after hospitalization on Thursday, September 19. Even his father Franco Lucia says that the singer is “a little better”. But his resignation is not imminent. Gastroscopy revealed new bleeding requiring new endoscopic suturing.

The second gastroscopy

Yesterday his wife Chiara Ferragni also appeared at the hospital. Fedez underwent surgery for a pancreatic neuroendocrine tumor in March 2022. It is not excluded that Federico Leonardo Lucia could spend his birthday, October 15th (he will be 34 years old), in the hospital. So it won’t be out in a week. And the X Factor live shows also start on October 26th. Massimo Falconi, head of pancreatic surgery at San Raffaele, where he was hospitalized last spring, said: “I don’t think what happened to him is in any way related to his underlying disease, for which he is not undergoing therapy , and.” It’s something that can happen to anyone. He added: “There may be increased frailty related to surgery, although this is rare.” And it is possible that it is related to medication use, although we have no information on this.”

The engagement

Giampaolo Tortora, director of the Comprehensive Cancer Center at the Gemelli Polyclinic in Rome and professor of oncology at the Catholic University, tells Il Messaggero today that bleeding can even be part of late postoperative complications. In cases where it is not a problem related to the recurrence of the neoplasm, “the risk of bleeding due to an ulcer is likely since we are close to the sutured area with very thin tissue”. Bleeding occurs due to ulcers.

These are “one of the possible expected consequences of suturing pieces of intestine.” In fact, the operation he underwent also requires the removal of a piece of the duodenum, and in this particular case it appears to be a small piece of intestine as well . It is clear that this is a very friable, thin material; Therefore, there is a possibility of a small ulcer developing. It can also occur in a so-called “functioning” neuroendocrine tumor: in this case, the neoplasm produces some substances that can also cause a small ulcer locally. But the tumor was radically removed at that time.”

Ulcers and recurrences

Professor Tortora explains that the pancreatic operation was radical. Therefore, ulcers should not be associated with the production of hormone-like substances. The risks associated with the tumor are averted if there are no recurrences: “In some cases, postoperative pharmacological treatment is carried out with substances that inhibit the somatostatin receptor.” If the neuroendocrine neoplasia that has occurred in the pancreas is discovered early and does not manifest itself in an aggressive form, it can be radically removed through surgical intervention.”

However, the intervention required is generally not minimal and conservative: “Fedez actually received an important operation, a duodeno-cephalo-pancreatectomy, similar to that carried out for other cancers such as pancreatic adenocarcinoma and which was excellently performed by Massimo Falconi. one of the best surgeons ever for this type of operation.”

How ulcers are treated

In the case of ulcers, explains the professor, “we usually intervene endoscopically and plug them by cauterizing them from the inside.” It is clear that when an ulcer forms in such thin tissue, the risk of bleeding is likely. It is difficult to say today whether the further bleeding is related to the ulcers that have already been cauterized or whether a new one has formed again after a short time. What is important is that there was no repetition. After the endoscopy, the wounds should heal. This process usually occurs quickly but is difficult to predict with certainty because it depends on local tissue reorganization. However, it is necessary to understand whether there are responsible causes, i.e. possible local vascular problems.”

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