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缺血性胃十二指肠溃疡作为肝动脉化疗栓塞治疗肝癌的并发症

[Ischemic gastroduodenal ulcer as a complication of hepatic hepatocarcinoma transarterial chemoembolization].

作者信息

de Zárraga Mata Claudia, Thomás Salom Guiem, Maura Oliver Ángela Laura

机构信息

Servicio de Aparato Digestivo, Hospital Son Llàtzer. Palma de Mallorca, España.

出版信息

Rev Gastroenterol Peru. 2019 Oct-Dec;39(4):367-369.

Abstract

Transarterial hepatic chemoembolization is one of the treatments of unresectable hepatocellular carcinoma in which associated ischemic lesions have been described infrequently. When unusual upper gastrointestinal symptoms or exceeding the so-called post-chemoembolization syndrome after the procedure, the performance of a gastroscopy should be assessed to rule out the occurrence of these complications. The anatomical variants with common origin of gastric and hepatic arteries can favor the migration of the microspheres into gastric territory, forcing the possible modification of the technique to prevent it.

摘要

经动脉肝化学栓塞术是不可切除肝细胞癌的治疗方法之一,其中相关的缺血性病变鲜有报道。术后若出现异常的上消化道症状或超过所谓的化学栓塞后综合征,应评估是否进行胃镜检查以排除这些并发症的发生。胃动脉和肝动脉共同起源的解剖变异可能有利于微球向胃区域迁移,因此可能需要对技术进行调整以防止这种情况发生。

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