Author  
Place of duty  
Title   경동맥적 항암 화학요법중 합병된 위십이지 동맥 - 십이지장루 ( Gastroduodenal Artery - Duodenal Fistula Complicated During Intraarterial Chemotherapy for Metastatic Hepatic Tumor )
Publicationinfo   1991 Jan; 023(02): 451-458.
Key_word   Hepatic arterial chemotherapy, Gastroduodenal artery-duodenal fistula, Upper gastro- intestinal bleeding
Full-Text  
Abstract   Resection is the treatment of choice for metastatic neoplasm to the liver from colorectal cancer. But in many cases, surgical removal of whole nodules of liver is practically impossible and other palliative modalities are considered. Regional chemotherapy via a canula indwelling to the hepatic artery (HAC) has been advocated as more effective and safe method ever have been tried. During twenty five years experiences of HAC, its role over the survival benefits was proved but many undesirable complications have been report- ed. Catheter malfunctions including thromboses, abnormal liver function, and gastrointestinal bleeding from ulcer diathesis were the representatives. Recently, we experienced a very unusual complication of HAC, a fistula between gastroduodenal artery and duodenal bulb and the patient showing profuse upper gastrointestinal bleeding. During vigorous diagnostic approach of endoscopy, remnant catheter appearing through the duodenal opening of fistula was removed. After removal of catheter, the patient presented with signs and symptoms of massive upper gastrointestinal bleeding. Bleeding was controlled by ligation of common hepatic artery and duodenal diverticulization. We believe this unusual complication is worthy of report and any practitioner of HAC should be aware of it.
저 자   노성훈(Sung Hoon Noh),서광욱(Kwang Wook Suh),민진식(Jin Sik Min),노재경(Jae Kyung Roh)