Kim Grace E, Chen Dennis
Section of Gastroenterology, Hepatology, and Nutrition, Department of Internal Medicine, University of Chicago, Chicago, IL.
Center for Endoscopic Research and Therapeutics, Section of Gastroenterology, Hepatology, and Nutrition, Department of Internal Medicine, University of Chicago, Chicago, IL.
ACG Case Rep J. 2024 Jun 26;11(7):e01399. doi: 10.14309/crj.0000000000001399. eCollection 2024 Jul.
Transcatheter arterial radioembolization (TARE) is a common locoregional treatment for hepatocellular carcinoma. It is associated with peptic ulcer disease in up to 5% of patients. A 70-year-old man with Roux-en-Y gastric bypass and liver cirrhosis with hepatocellular carcinoma treated with TARE 6 months earlier was evaluated for continued melena and was found to have an ulcer in the excluded stomach. This was successfully treated with liquid proton pump inhibitor through gastrostomy tube to the excluded stomach. This represents a unique case of successful management of TARE-induced peptic ulcer disease in the excluded stomach of a Roux-en-Y gastric bypass patient.
经导管动脉放射性栓塞术（TARE）是肝细胞癌常见的局部区域治疗方法。高达5%的患者会出现与之相关的消化性溃疡疾病。一名70岁男性，接受了Roux-en-Y胃旁路手术且患有肝硬化合并肝细胞癌，6个月前接受了TARE治疗，因持续黑便接受评估，结果发现其旷置胃中有一处溃疡。通过胃造瘘管向旷置胃内注入液体质子泵抑制剂，成功治愈了该溃疡。这是一例成功治疗Roux-en-Y胃旁路手术患者旷置胃中TARE诱发的消化性溃疡疾病的独特病例。
