Clinical and Molecular Hepatology (Sep 2014)

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

  • Sun Young Yim,
  • 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

DOI
https://doi.org/10.3350/cmh.2014.20.3.300
Journal volume & issue
Vol. 20, no. 3
pp. 300 – 305

Abstract

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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.

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