Gastrectomy for the treatment of refractory gastric ulceration after radioembolization with 90Y microspheres
Korean Journal of Hepatology 2014³â 20±Ç 3È£ p.300 ~ p.305
ÀÓ¼±¿µ(Yim Sun-Young) - Korea University College of Medicine Department of Internal Medicine
±èÁøµ¿(Kim Jin-Dong) - Korea University College of Medicine Department of Internal Medicine
Á¤Áø¿ë(Jung Jin-Yong) - Korea University College of Medicine Department of Internal Medicine
±èâÇÏ(Kim Chang-Ha) - Korea University College of Medicine Department of Internal Medicine
¼¿¬¼®(Seo Yeon-Seok) - Korea University College of Medicine Department of Internal Medicine
ÀÓÇüÁØ(Yim Hyung-Joon) - Korea University College of Medicine Department of Internal Medicine
¾ö¼øÈ£(Um Soon-Ho) - Korea University College of Medicine Department of Internal Medicine
·ùÈ£»ó(Ryu Ho-Sang) - Korea University College of Medicine Department of Internal Medicine
±èÀ±È¯(Kim Yun-Hwan) - Korea University College of Medicine Department of Radiology
±èÁ¾¼®(Kim Chong-Suk) - Korea University College of Medicine Department of Surgery
½ÅÀº(Shin Eun) - Seoul National University Bundang Hospital Department of Pathology
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.
Å°¿öµå
Gastrectomy, Gastric ulcer, Hepatocellular carcinoma, Radioembolization, Yttrium-90
KMID :
1103920140200030300
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