Anatomic and technical skill factor of gastroduodenal complication in post-transarterial embolization for hepatocellular carcinoma

A retrospective study of 280 cases

Ting Kai Leung, Chi Ming Lee, Hsin Chi Chen

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Aim: To reduce the possibility of gastroduodenal complications. The purpose of this retrospective study was to survey the literature and compare and discuss the incidence of post-transarterial embolization (TAE) gastroduodenal complications. Methods: We found reports describing 280 cases of hepatocellular carcinoma with TAE procedures done during the past 4 years and selected all of them for our study. Amongst these cases, 86 were suspected of suffering gastroduodenal complications within one month of post-TAE treatment. Fifteen of these cases were proved by pan-endoscopy to have gastroduodenal erosions or ulcerations. We reviewed the angiographic pictures in patient records to evaluate the possibility that anatomic and technical skill factors could explain the complications. Results: Amongst the 15 cases, 9 were primary lesions of the antrum and prepylorus; 4 had duodenal ulcer or erosions; 2 had mid-body lesions; none showed a lesion at the fundus or cardia region. Three cases had not received TAEs using our ideal method, and may be associated with possible regurgitation of gel-foam pieces into the right or left gastric arteries. Two cases involved sub-selective embolization at a distal point on the hepatic artery; one case was found by angiography to have complete occlusion of the celiac trunk. Conclusion: Comparing our results with past cases of post-TAE gastroduodenal complications, we surmise that our relatively low incidence (5.3%) of gastric complications might be explained by our concerted efforts to improve our technical skills in multi-sequential, selective and super-selective approaches to the embolization of tumor vessels.

Original languageEnglish
Pages (from-to)1554-1557
Number of pages4
JournalWorld Journal of Gastroenterology
Volume11
Issue number10
Publication statusPublished - Mar 14 2005

Fingerprint

Hepatocellular Carcinoma
Retrospective Studies
Stomach
Cardia
Hepatic Artery
Incidence
Duodenal Ulcer
Abdomen
Endoscopy
Angiography
Arteries
Gels
Neoplasms
Therapeutics
Surveys and Questionnaires

Keywords

  • Gastroduodenal complication
  • Post-TAE complication
  • Transarterial embolization

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Anatomic and technical skill factor of gastroduodenal complication in post-transarterial embolization for hepatocellular carcinoma : A retrospective study of 280 cases. / Leung, Ting Kai; Lee, Chi Ming; Chen, Hsin Chi.

In: World Journal of Gastroenterology, Vol. 11, No. 10, 14.03.2005, p. 1554-1557.

Research output: Contribution to journalArticle

@article{73c63bc5521c4e358620c1e9784da2fa,
title = "Anatomic and technical skill factor of gastroduodenal complication in post-transarterial embolization for hepatocellular carcinoma: A retrospective study of 280 cases",
abstract = "Aim: To reduce the possibility of gastroduodenal complications. The purpose of this retrospective study was to survey the literature and compare and discuss the incidence of post-transarterial embolization (TAE) gastroduodenal complications. Methods: We found reports describing 280 cases of hepatocellular carcinoma with TAE procedures done during the past 4 years and selected all of them for our study. Amongst these cases, 86 were suspected of suffering gastroduodenal complications within one month of post-TAE treatment. Fifteen of these cases were proved by pan-endoscopy to have gastroduodenal erosions or ulcerations. We reviewed the angiographic pictures in patient records to evaluate the possibility that anatomic and technical skill factors could explain the complications. Results: Amongst the 15 cases, 9 were primary lesions of the antrum and prepylorus; 4 had duodenal ulcer or erosions; 2 had mid-body lesions; none showed a lesion at the fundus or cardia region. Three cases had not received TAEs using our ideal method, and may be associated with possible regurgitation of gel-foam pieces into the right or left gastric arteries. Two cases involved sub-selective embolization at a distal point on the hepatic artery; one case was found by angiography to have complete occlusion of the celiac trunk. Conclusion: Comparing our results with past cases of post-TAE gastroduodenal complications, we surmise that our relatively low incidence (5.3{\%}) of gastric complications might be explained by our concerted efforts to improve our technical skills in multi-sequential, selective and super-selective approaches to the embolization of tumor vessels.",
keywords = "Gastroduodenal complication, Post-TAE complication, Transarterial embolization",
author = "Leung, {Ting Kai} and Lee, {Chi Ming} and Chen, {Hsin Chi}",
year = "2005",
month = "3",
day = "14",
language = "English",
volume = "11",
pages = "1554--1557",
journal = "World Journal of Gastroenterology",
issn = "1007-9327",
publisher = "WJG Press",
number = "10",

}

TY - JOUR

T1 - Anatomic and technical skill factor of gastroduodenal complication in post-transarterial embolization for hepatocellular carcinoma

T2 - A retrospective study of 280 cases

AU - Leung, Ting Kai

AU - Lee, Chi Ming

AU - Chen, Hsin Chi

PY - 2005/3/14

Y1 - 2005/3/14

N2 - Aim: To reduce the possibility of gastroduodenal complications. The purpose of this retrospective study was to survey the literature and compare and discuss the incidence of post-transarterial embolization (TAE) gastroduodenal complications. Methods: We found reports describing 280 cases of hepatocellular carcinoma with TAE procedures done during the past 4 years and selected all of them for our study. Amongst these cases, 86 were suspected of suffering gastroduodenal complications within one month of post-TAE treatment. Fifteen of these cases were proved by pan-endoscopy to have gastroduodenal erosions or ulcerations. We reviewed the angiographic pictures in patient records to evaluate the possibility that anatomic and technical skill factors could explain the complications. Results: Amongst the 15 cases, 9 were primary lesions of the antrum and prepylorus; 4 had duodenal ulcer or erosions; 2 had mid-body lesions; none showed a lesion at the fundus or cardia region. Three cases had not received TAEs using our ideal method, and may be associated with possible regurgitation of gel-foam pieces into the right or left gastric arteries. Two cases involved sub-selective embolization at a distal point on the hepatic artery; one case was found by angiography to have complete occlusion of the celiac trunk. Conclusion: Comparing our results with past cases of post-TAE gastroduodenal complications, we surmise that our relatively low incidence (5.3%) of gastric complications might be explained by our concerted efforts to improve our technical skills in multi-sequential, selective and super-selective approaches to the embolization of tumor vessels.

AB - Aim: To reduce the possibility of gastroduodenal complications. The purpose of this retrospective study was to survey the literature and compare and discuss the incidence of post-transarterial embolization (TAE) gastroduodenal complications. Methods: We found reports describing 280 cases of hepatocellular carcinoma with TAE procedures done during the past 4 years and selected all of them for our study. Amongst these cases, 86 were suspected of suffering gastroduodenal complications within one month of post-TAE treatment. Fifteen of these cases were proved by pan-endoscopy to have gastroduodenal erosions or ulcerations. We reviewed the angiographic pictures in patient records to evaluate the possibility that anatomic and technical skill factors could explain the complications. Results: Amongst the 15 cases, 9 were primary lesions of the antrum and prepylorus; 4 had duodenal ulcer or erosions; 2 had mid-body lesions; none showed a lesion at the fundus or cardia region. Three cases had not received TAEs using our ideal method, and may be associated with possible regurgitation of gel-foam pieces into the right or left gastric arteries. Two cases involved sub-selective embolization at a distal point on the hepatic artery; one case was found by angiography to have complete occlusion of the celiac trunk. Conclusion: Comparing our results with past cases of post-TAE gastroduodenal complications, we surmise that our relatively low incidence (5.3%) of gastric complications might be explained by our concerted efforts to improve our technical skills in multi-sequential, selective and super-selective approaches to the embolization of tumor vessels.

KW - Gastroduodenal complication

KW - Post-TAE complication

KW - Transarterial embolization

UR - http://www.scopus.com/inward/record.url?scp=16344366877&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=16344366877&partnerID=8YFLogxK

M3 - Article

VL - 11

SP - 1554

EP - 1557

JO - World Journal of Gastroenterology

JF - World Journal of Gastroenterology

SN - 1007-9327

IS - 10

ER -