Laparoscopic Gastrojejunostomy for the Treatment of SIRT-Induced Duodenal Ulcer Complicated by Gastric Outlet Obstruction

Selective internal radiation therapy (SIRT) is an emerging therapeutic modality in patients with unresectable hepatocellular carcinoma or liver metastases. However, complications can occur due to migration of radiation microspheres such as gastrointestinal ulcer, cholecystitis, bleeding, pancreatiti...

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Autores principales:	Walaa El Arja, Sarah B. Eid, Elias Saikaly, Lynn Ezzeddine, Rayan Daoud, Elias Fiani
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2021
Materias:	duodenal ulcer gastric outlet obstruction gastrojejunostomy radioembolization yttrium-90 Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/bc70e73039c74ccbaadf4add814066c0
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spelling	oai:doaj.org-article:bc70e73039c74ccbaadf4add814066c02021-11-10T23:54:33ZLaparoscopic Gastrojejunostomy for the Treatment of SIRT-Induced Duodenal Ulcer Complicated by Gastric Outlet Obstruction2455-74202455-094910.1055/s-0041-1736448https://doaj.org/article/bc70e73039c74ccbaadf4add814066c02021-11-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1736448https://doaj.org/toc/2455-7420https://doaj.org/toc/2455-0949Selective internal radiation therapy (SIRT) is an emerging therapeutic modality in patients with unresectable hepatocellular carcinoma or liver metastases. However, complications can occur due to migration of radiation microspheres such as gastrointestinal ulcer, cholecystitis, bleeding, pancreatitis, and many others. A 50-year-old woman with stage IV breast cancer who underwent radioembolization for unresectable hepatic metastasis 6 months ago presented to our hospital with 1 month history of nausea, vomiting, with food intolerance, and weight loss. Esophagogastroduodenoscopy showed large deep duodenal bulbar ulcer along with antral ulcerations and edematous gastropathy. Biopsies revealed typical black, duodenal yttrium-90 sphere, documenting radiation injury. After she was discharged on proton pump inhibitor, the patient came back 1 month later for exacerbation of symptoms; computed tomography scan of the abdomen showed gastric outlet obstruction. Although there is no consensus in treating radiation-induced ulcers, physicians should be aware of this complication in patient who underwent SIRT presenting for abdominal pain.Walaa El ArjaSarah B. EidElias SaikalyLynn EzzeddineRayan DaoudElias FianiThieme Medical and Scientific Publishers Pvt. Ltd.articleduodenal ulcergastric outlet obstructiongastrojejunostomyradioembolizationyttrium-90Orthopedic surgeryRD701-811ENInternational Journal of Recent Surgical and Medical Sciences (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	duodenal ulcer gastric outlet obstruction gastrojejunostomy radioembolization yttrium-90 Orthopedic surgery RD701-811
spellingShingle	duodenal ulcer gastric outlet obstruction gastrojejunostomy radioembolization yttrium-90 Orthopedic surgery RD701-811 Walaa El Arja Sarah B. Eid Elias Saikaly Lynn Ezzeddine Rayan Daoud Elias Fiani Laparoscopic Gastrojejunostomy for the Treatment of SIRT-Induced Duodenal Ulcer Complicated by Gastric Outlet Obstruction
description	Selective internal radiation therapy (SIRT) is an emerging therapeutic modality in patients with unresectable hepatocellular carcinoma or liver metastases. However, complications can occur due to migration of radiation microspheres such as gastrointestinal ulcer, cholecystitis, bleeding, pancreatitis, and many others. A 50-year-old woman with stage IV breast cancer who underwent radioembolization for unresectable hepatic metastasis 6 months ago presented to our hospital with 1 month history of nausea, vomiting, with food intolerance, and weight loss. Esophagogastroduodenoscopy showed large deep duodenal bulbar ulcer along with antral ulcerations and edematous gastropathy. Biopsies revealed typical black, duodenal yttrium-90 sphere, documenting radiation injury. After she was discharged on proton pump inhibitor, the patient came back 1 month later for exacerbation of symptoms; computed tomography scan of the abdomen showed gastric outlet obstruction. Although there is no consensus in treating radiation-induced ulcers, physicians should be aware of this complication in patient who underwent SIRT presenting for abdominal pain.
format	article
author	Walaa El Arja Sarah B. Eid Elias Saikaly Lynn Ezzeddine Rayan Daoud Elias Fiani
author_facet	Walaa El Arja Sarah B. Eid Elias Saikaly Lynn Ezzeddine Rayan Daoud Elias Fiani
author_sort	Walaa El Arja
title	Laparoscopic Gastrojejunostomy for the Treatment of SIRT-Induced Duodenal Ulcer Complicated by Gastric Outlet Obstruction
title_short	Laparoscopic Gastrojejunostomy for the Treatment of SIRT-Induced Duodenal Ulcer Complicated by Gastric Outlet Obstruction
title_full	Laparoscopic Gastrojejunostomy for the Treatment of SIRT-Induced Duodenal Ulcer Complicated by Gastric Outlet Obstruction
title_fullStr	Laparoscopic Gastrojejunostomy for the Treatment of SIRT-Induced Duodenal Ulcer Complicated by Gastric Outlet Obstruction
title_full_unstemmed	Laparoscopic Gastrojejunostomy for the Treatment of SIRT-Induced Duodenal Ulcer Complicated by Gastric Outlet Obstruction
title_sort	laparoscopic gastrojejunostomy for the treatment of sirt-induced duodenal ulcer complicated by gastric outlet obstruction
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2021
url	https://doaj.org/article/bc70e73039c74ccbaadf4add814066c0
work_keys_str_mv	AT walaaelarja laparoscopicgastrojejunostomyforthetreatmentofsirtinducedduodenalulcercomplicatedbygastricoutletobstruction AT sarahbeid laparoscopicgastrojejunostomyforthetreatmentofsirtinducedduodenalulcercomplicatedbygastricoutletobstruction AT eliassaikaly laparoscopicgastrojejunostomyforthetreatmentofsirtinducedduodenalulcercomplicatedbygastricoutletobstruction AT lynnezzeddine laparoscopicgastrojejunostomyforthetreatmentofsirtinducedduodenalulcercomplicatedbygastricoutletobstruction AT rayandaoud laparoscopicgastrojejunostomyforthetreatmentofsirtinducedduodenalulcercomplicatedbygastricoutletobstruction AT eliasfiani laparoscopicgastrojejunostomyforthetreatmentofsirtinducedduodenalulcercomplicatedbygastricoutletobstruction
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Laparoscopic Gastrojejunostomy for the Treatment of SIRT-Induced Duodenal Ulcer Complicated by Gastric Outlet Obstruction

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