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Gastrectomy for the treatment of refractory gastric ulceration after radioembolization with 90Y microspheres |
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| Authors: | 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 |
| Affiliation: | 1.Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.;2.Department of Internal Medicine, Cheju Halla General Hospital, Jeju, Korea.;3.Department of Radiology, Korea University College of Medicine, Seoul, Korea.;4.Department of Surgery, Korea University College of Medicine, Seoul, Korea.;5.Department of Pathology, Seoul National University Bundang Hospital, Seongnam, Korea. |
| 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. |
| Keywords: | Gastrectomy Gastric ulcer Hepatocellular carcinoma Radioembolization Yttrium-90 |