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KMID : 1103920140200030300
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Korean Journal of Hepatology
2014 Volume.20 No. 3 p.300 ~ p.305
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Gastrectomy for the treatment of refractory gastric ulceration after radioembolization with 90Y microspheres
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Yim Sun-Young
Kim Jin-Dong
Jung Jin-Yong
Kim Chang-Ha
Seo Yeon-Seok
Yim Hyung-Joon
Um Soon-Ho
Ryu Ho-Sang
Kim Yun-Hwan
Kim Chong-Suk
Shin Eun
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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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KEYWORD
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Gastrectomy, Gastric ulcer, Hepatocellular carcinoma, Radioembolization, Yttrium-90
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