Ischemic bile duct injury as a serious complication after transarterial chemoembolization in patients with hepatocellular carcinoma

被引:106
作者
Kim, HK
Chung, YH
Song, BC
Yang, SH
Yoon, HK
Yu, E
Sung, KB
Lee, YS
Lee, SG
Suh, DJ
机构
[1] Univ Ulsan, Asan Med Ctr, Coll Med, Dept Internal Med,Songpa Ku, Seoul 138040, South Korea
[2] Univ Ulsan, Asan Med Ctr, Coll Med, Dept Diagnost Radiol, Seoul 138040, South Korea
[3] Univ Ulsan, Asan Med Ctr, Coll Med, Dept Gen Surg, Seoul 138040, South Korea
[4] Univ Ulsan, Asan Med Ctr, Coll Med, Dept Pathol, Seoul 138040, South Korea
关键词
ischemic bile duct injury; transarterial chemoembolization; hepatocellular carcinoma;
D O I
10.1097/00004836-200105000-00013
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background: Bile duct injuries after transarterial chemoembolization (TACE) have been reported; however, the exact pathogenic mechanisms and clinical implications of the injuries remain to be clarified. Study: A total of 950 consecutive patients with hepatocellular carcinoma (HCC) were studied. Among them, 807 were treated with TACE and the remaining 143 were treated with transarterial chemoinfusion (TACI) of cisplatin. Results: None of 143 patients with HCC treated with TACI were found to have any radiographic evidence of biliary injury. In contrast, of the 807 patients treated with TACE, 17 (2%) developed biliary complications. Of all complications, 12 (71%) were subcapsular bilomas; 3 (17%), focal strictures of the common hepatic duct or common bile duct; and 2 (12%), diffuse mild dilatation of the intrahepatic bile ducts, interestingly, 2 of the 12 bilomas were found in the lobe that was not embolized with gelatin sponge particles. The median numbers of TACE tended to be greater in the patients with focal stricture than in those with bilomas (6.0 vs. 2.5; p = 0.08). All 3 patients with focal strictures and 3 of the 12 patients with bilomas had associated serious bacterial infections at presentation. Conclusions: Bilomas seem to be caused by iodized oil rather than gelatin sponge particles; focal strictures of large bile ducts seem to be caused by gelatin sponge particles. We suggest that adjustments in the amounts of iodized oil or gelatin sponge particles and in the sites of embolization may reduce ischemic biliary injuries after TACE.
引用
收藏
页码:423 / 427
页数:5
相关论文
共 34 条
[1]
Araki Y, 1986, Gan To Kagaku Ryoho, V13, P2446
[2]
BENSON EA, 1981, BRIT J CLIN PRACT, V35, P97
[3]
IODIZED OIL IN THE TREATMENT OF HEPATOCELLULAR-CARCINOMA [J].
BHATTACHARYA, S ;
NOVELL, JR ;
WINSLET, MC ;
HOBBS, KEF .
BRITISH JOURNAL OF SURGERY, 1994, 81 (11) :1563-1571
[4]
CHOLANGITIS COMPLICATING INTRAARTERIAL CHEMOTHERAPY IN LIVER METASTASIS [J].
BOTET, JF ;
WATSON, RC ;
KEMENY, N ;
DALY, JM ;
YEH, S .
RADIOLOGY, 1985, 156 (02) :335-337
[5]
THE PERIBILIARY VASCULAR PLEXUS - THE MICROVASCULAR ARCHITECTURE OF THE BILE-DUCT IN THE RABBIT AND IN CLINICAL CASES [J].
CHO, KJ ;
LUNDERQUIST, A .
RADIOLOGY, 1983, 147 (02) :357-364
[6]
THERAPEUTIC EFFECT OF TRANSCATHETER OILY CHEMOEMBOLIZATION THERAPY FOR ENCAPSULATED NODULAR HEPATOCELLULAR-CARCINOMA - CT AND PATHOLOGICAL FINDINGS [J].
CHOI, BI ;
KIM, HC ;
HAN, JK ;
PARK, JH ;
KIM, YI ;
KIM, ST ;
LEE, HS ;
KIM, CY ;
HAN, MC .
RADIOLOGY, 1992, 182 (03) :709-713
[7]
Hepatic tumors: Predisposing factors for complications of transcatheter oily chemoembolization [J].
Chung, JW ;
Park, JH ;
Han, JK ;
Choi, BI ;
Han, MC ;
Lee, HS ;
Kim, CY .
RADIOLOGY, 1996, 198 (01) :33-40
[8]
PROXIMAL VERSUS PERIPHERAL HEPATIC-ARTERY EMBOLIZATION - EXPERIMENTAL-STUDY IN MONKEYS [J].
DOPPMAN, JL ;
GIRTON, M ;
KAHN, ER .
RADIOLOGY, 1978, 128 (03) :577-588
[9]
DOPPMAN JL, 1979, RADIOLOGY, V130, P1
[10]
IATROGENIC BILIARY-TRACT COMPLICATIONS - RADIOLOGIC FEATURES AND CLINICAL-SIGNIFICANCE [J].
GHAHREMANI, GG ;
CRAMPTON, AR ;
BERNSTEIN, JR ;
CAPRINI, JA .
RADIOGRAPHICS, 1991, 11 (03) :441-456