Stent-graft placement for treatment of massive hemobilia caused by porto-biliary fistula

Proton beam therapy is a type of radiation therapy and a promising modality for cancer management because it involves few adverse effects and high therapeutic efficacy. However, there are reports of acute and late complications because of normal tissue damage. Hemobilia, known as bleeding from the b...

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Main Authors: Masao Takahashi, Yozo Sato, Kazuo Hara, Nozomi Okuno, Ikuo Dejima, Shinichi Murata, Takaaki Hasegawa, Shohei Chatani, Hiroaki Onaya, Yoshitaka Inaba
Format: Article
Language:English
Published: Society of Gastrointestinal Intervention 2019-10-01
Series:International Journal of Gastrointestinal Intervention
Subjects:
Online Access:https://doi.org/10.18528/ijgii190005
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author Masao Takahashi
Yozo Sato
Kazuo Hara
Nozomi Okuno
Ikuo Dejima
Shinichi Murata
Takaaki Hasegawa
Shohei Chatani
Hiroaki Onaya
Yoshitaka Inaba
author_facet Masao Takahashi
Yozo Sato
Kazuo Hara
Nozomi Okuno
Ikuo Dejima
Shinichi Murata
Takaaki Hasegawa
Shohei Chatani
Hiroaki Onaya
Yoshitaka Inaba
author_sort Masao Takahashi
collection DOAJ
description Proton beam therapy is a type of radiation therapy and a promising modality for cancer management because it involves few adverse effects and high therapeutic efficacy. However, there are reports of acute and late complications because of normal tissue damage. Hemobilia, known as bleeding from the biliary tree, is observed in various conditions, and it can also be of iatrogenic origin such as due to percutaneous hepatobiliary interventions. In most cases, it can be managed conservatively without significant hemorrhage. However, in a few cases with massive hemobilia, further intervention is necessary. We report the successful use of a stent-graft in the portal vein to treat massive hemobilia with porto-biliary fistula that was caused by previous proton beam therapy.
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spelling doaj.art-5844400d2fb8499f89debbb2f450f18b2022-12-22T00:09:00ZengSociety of Gastrointestinal InterventionInternational Journal of Gastrointestinal Intervention2636-00122019-10-018416817010.18528/ijgii19000510.18528/ijgii190005Stent-graft placement for treatment of massive hemobilia caused by porto-biliary fistulaMasao Takahashi0Yozo Sato1Kazuo Hara2Nozomi Okuno3Ikuo Dejima4Shinichi Murata5Takaaki Hasegawa6Shohei Chatani7Hiroaki Onaya8Yoshitaka Inaba9Department of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital, Nagoya, JapanDepartment of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital, Nagoya, JapanDepartment of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, JapanDepartment of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, JapanDepartment of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital, Nagoya, JapanDepartment of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital, Nagoya, JapanDepartment of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital, Nagoya, JapanDepartment of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital, Nagoya, JapanDepartment of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital, Nagoya, JapanDepartment of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital, Nagoya, JapanProton beam therapy is a type of radiation therapy and a promising modality for cancer management because it involves few adverse effects and high therapeutic efficacy. However, there are reports of acute and late complications because of normal tissue damage. Hemobilia, known as bleeding from the biliary tree, is observed in various conditions, and it can also be of iatrogenic origin such as due to percutaneous hepatobiliary interventions. In most cases, it can be managed conservatively without significant hemorrhage. However, in a few cases with massive hemobilia, further intervention is necessary. We report the successful use of a stent-graft in the portal vein to treat massive hemobilia with porto-biliary fistula that was caused by previous proton beam therapy.https://doi.org/10.18528/ijgii190005biliary fistula; hemobilia; proton therapy; self expandable metallic stents
spellingShingle Masao Takahashi
Yozo Sato
Kazuo Hara
Nozomi Okuno
Ikuo Dejima
Shinichi Murata
Takaaki Hasegawa
Shohei Chatani
Hiroaki Onaya
Yoshitaka Inaba
Stent-graft placement for treatment of massive hemobilia caused by porto-biliary fistula
International Journal of Gastrointestinal Intervention
biliary fistula; hemobilia; proton therapy; self expandable metallic stents
title Stent-graft placement for treatment of massive hemobilia caused by porto-biliary fistula
title_full Stent-graft placement for treatment of massive hemobilia caused by porto-biliary fistula
title_fullStr Stent-graft placement for treatment of massive hemobilia caused by porto-biliary fistula
title_full_unstemmed Stent-graft placement for treatment of massive hemobilia caused by porto-biliary fistula
title_short Stent-graft placement for treatment of massive hemobilia caused by porto-biliary fistula
title_sort stent graft placement for treatment of massive hemobilia caused by porto biliary fistula
topic biliary fistula; hemobilia; proton therapy; self expandable metallic stents
url https://doi.org/10.18528/ijgii190005
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