Pancreatitis after percutaneous ethanol injection into HCC: a minireview of the literature

被引:4
|
作者
Zardi, Enrico M. [1 ]
Di Matteo, Francesco [2 ]
Santini, Daniele
Uwechie, Valentina [3 ]
Crucitti, Pierfilippo [4 ]
Carassiti, Massimiliano [5 ]
Picardi, Antonio [1 ]
Perrella, Eleonora [6 ]
Caricato, Marco [4 ]
Tonini, Giuseppe
Coppola, Roberto [4 ]
Afeltra, Antonella [1 ]
机构
[1] Campus Biomed Univ, Dept Clin Med, Rome, Italy
[2] Campus Biomed Univ, Dept Digest Dis, GI Endoscopy Unit, Rome, Italy
[3] Univ Roma La Sapienza, Dept Infect & Trop Dis, Rome, Italy
[4] Campus Biomed Univ, Dept Gen Surg, Rome, Italy
[5] Campus Biomed Univ, Dept Anesthesia, Rome, Italy
[6] Campus Biomed Univ, Dept Pathol, Rome, Italy
关键词
D O I
10.1186/1756-9966-27-28
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Deaths after percutaneous ethanol injection (PEI) into hepatocellular carcinoma (HCC) may occur within a few hours to a few days following the procedure because of hemoperitoneum and haemorrhage from oesophageal varices or hepatic insufficiency. Pancreatitis has been recently reported as a rare lethal complication of intra-arterial PEI, another modality for treating HCCs. In this minireview, we analyze the literature concerning the development of acute pancreatitis after PEI. Pathogenesis of pancreatitis from opioids and ethanol is also addressed. Treatment with opioids to reduce the patient's abdominal pain after PEI in combination with the PEI itself may lead to direct toxic effects, thus favouring the development of pancreatitis.
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页数:4
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