Gastrectomy for the treatment of refractory gastric ulceration after radioembolization with 90Y microspheres.
10.3350/cmh.2014.20.3.300
- Author:
Sun Young YIM
1
;
Jin Dong KIM
;
Jin Yong JUNG
;
Chang Ha KIM
;
Yeon Seok SEO
;
Hyung Joon YIM
;
Soon Ho UM
;
Ho Sang RYU
;
Yun Hwan KIM
;
Chong Suk KIM
;
Eun SHIN
Author Information
1. Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. motet76@gmail.com
- Publication Type:Case Reports
- Keywords:
Gastrectomy;
Gastric ulcer;
Hepatocellular carcinoma;
Radioembolization;
Yttrium-90
- MeSH:
Aged;
Carcinoma, Hepatocellular/*diagnosis/radiotherapy;
Embolization, Therapeutic/*adverse effects;
Gastrectomy;
Gastrointestinal Hemorrhage/etiology;
Gastroscopy;
Humans;
Liver Neoplasms/*diagnosis/radiotherapy;
Magnetic Resonance Imaging;
Male;
*Microspheres;
Radiopharmaceuticals/therapeutic use;
Stomach/pathology;
Stomach Ulcer/*etiology/surgery;
Yttrium Radioisotopes/chemistry
- From:Clinical and Molecular Hepatology
2014;20(3):300-305
- CountryRepublic of Korea
- Language:English
-
Abstract:
Transcatheter arterial radioembolization (TARE) with Yttrium-90 (90Y)-labeled microspheres has an emerging role in treatment of patients with unresectable hepatocellular carcinoma. Although complication of TARE can be minimized by aggressive pre-evaluation angiography and preventive coiling of aberrant vessels, radioembolization-induced gastroduodenal ulcer can be irreversible and can be life-threatening. Treatment of radioembolization-induced gastric ulcer is challenging because there is a few reported cases and no consensus for management. We report a case of severe gastric ulceration with bleeding that eventually required surgery due to aberrant deposition of microspheres after TARE.
