Fidel Castro Steps down from Cuban Leadership. What could the reasons be?
Cuban President Fidel Castro’s intestinal crisis could have been caused by a number of conditions but any type of abdominal surgery in a man nearing 80 is serious, British surgeons said on Tuesday.
The bearded revolutionary leader who turns 80 later this month handed over power temporarily to his younger brother following complicated surgery for intestinal bleeding.
In a statement read on television by Castro’s personal aide, the Cuban leader said he had overexerted himself during a recent trip to Argentina but he did not elaborate on what caused the intestinal crisis or where the bleeding originated.
Robert Johnson, a retired transplant and vascular surgeon from Manchester Royal Infirmary in England, said if the sustained bleeding was from the upper intestinal tract Castro may have suffered from a duodenal ulcer.
“That could cause catastrophic haemorrhage and require emergency and sometimes quite complicated surgery. That is one possibility and it is the simplest and most obvious possibility,” Johnson said in an interview.
Another condition known as esophageal varices — large distended veins that can also cause persistent bleeding.
But if the blood loss was from the lower intestinal tract it could be due to diverticulitis, small pouches in the colon that can become inflamed, which is linked to age and a diet lacking in fibre.
Or it could be due to angiodysplasia, stretched and fragile blood vessels in the colon.
SO MANY POSSIBILITIES
“There are so many possibilities,” said Professor Norman Williams of Barts and The London, part of the Royal London Hospital, stressing the lack of information available.
“If it is truly intestinal then the chances are it will be large bowel bleeding and it could either be angiodysplasia or diverticular disease. Those are the commonest ones in older people,” he added.
The medical experts also mentioned the possibility of a tumour but said it is less likely than other potential causes to result in sustained bleeding.
Concerns about Castro’s health arose when he fainted during a speech in 2001. Three years later he fractured an arm and a knee. If Castro, who has ruled Cuba for nearly 50 years, was taking painkillers known as non-steroidal anti-inflammatory drugs (NSAIDS) for his injuries or any other problems they could also have caused bleeding.
“A common cause of bleeding in the stomach is people taking painkillers,” said Martin Cooper, a surgeon at the Royal Devon and Exeter Hospital in south-western England.
He added that any surgery for major bleeding in a 79-year old man is risky and will take some time for recovery.
“It is a dangerous procedure and he is likely to be wiped out for several months. Handing over power is very sensible,” Cooper said.
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