Yttrium-90 microsphere induced gastrointestinal tract ulceration
2008

Gastrointestinal Complications from Yttrium-90 Treatment

Sample size: 27 publication Evidence: moderate

Author Information

Author(s): Christopher D South, Marty M Meyer, Gregory Meis, Edward Y Kim, Fred B Thomas, Ali A Rikabi, Hooman Khabiri, Mark Bloomston

Primary Institution: The Ohio State University Medical Center

Hypothesis

What is the frequency and severity of gastrointestinal complications following yttrium-90 microsphere therapy?

Conclusion

Gastrointestinal ulceration is a known yet rarely reported complication of yttrium-90 microsphere embolization with potentially life-threatening consequences.

Supporting Evidence

  • Three of twenty-seven patients presented with endoscopically confirmed gastrointestinal ulceration.
  • The median follow-up from time of RT was 6 months.
  • All three patients presented with abdominal pain and nausea.

Takeaway

Some patients who receive a special treatment for liver cancer can get painful stomach ulcers, which can be very serious.

Methodology

Charts of patients who underwent radioembolotherapy were reviewed to determine the incidence and severity of gastrointestinal ulceration.

Limitations

The study may underestimate the true incidence of gastrointestinal ulceration due to non-specific abdominal complaints.

Participant Demographics

Patients with primary or secondary hepatic malignancies treated at a large academic institution.

Digital Object Identifier (DOI)

10.1186/1477-7819-6-93

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