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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Format: | Article |
Language: | English |
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Society of Gastrointestinal Intervention
2019-10-01
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Series: | International Journal of Gastrointestinal Intervention |
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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. |
first_indexed | 2024-12-12T22:53:27Z |
format | Article |
id | doaj.art-5844400d2fb8499f89debbb2f450f18b |
institution | Directory Open Access Journal |
issn | 2636-0012 |
language | English |
last_indexed | 2024-12-12T22:53:27Z |
publishDate | 2019-10-01 |
publisher | Society of Gastrointestinal Intervention |
record_format | Article |
series | International Journal of Gastrointestinal Intervention |
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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