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Gastrectomy for the treatment of refractory gastric ulceration after radioembolization with 90Y microspheres

Authors
Yim S.Y.Kim J.D.Jung J.Y.Kim C.H.Seo Y.S.Yim H.J.Um S.H.Ryu H.S.Kim Y.H.Kim C.S.Shin E.
Issue Date
2014
Keywords
Gastrectomy; Gastric ulcer; Hepatocellular carcinoma; Radioembolization; Yttrium-90
Citation
Clinical and molecular hepatology, v.20, no.3, pp 300 - 305
Pages
6
Indexed
SCOPUS
KCI
Journal Title
Clinical and molecular hepatology
Volume
20
Number
3
Start Page
300
End Page
305
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/9945
DOI
10.3350/cmh.2014.20.3.300
ISSN
2287-2728
2287-285X
Abstract
Transcatheter arterial radioembolization (TARE) with Yttrium-90 ((90)Y)-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.
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