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©2008 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Apr 28, 2008; 14(16): 2593-2595
Published online Apr 28, 2008. doi: 10.3748/wjg.14.2593
Published online Apr 28, 2008. doi: 10.3748/wjg.14.2593
An uncommon cause of gastro-duodenal ulceration
Sebastian Mallach, Andreas Erhardt, Marcus Schmitt, Dieter Häussinger, Klinik für Gastroenterologie, Hepatologie und Infektiologie, Heinrich-Heine-Universität, Düsseldorf, Moorenstr. 5, Düsseldorf D-40225, Germany
Uwe Ramp, Institut für Pathologie, Heinrich-Heine-Universität, Düsseldorf, Moorenstr. 5, Düsseldorf D-40225, Germany
Author contributions: Mallach S, Erhardt A, Schmitt M and Häussinger D followed the patient; Ramp U perfomed pathologic evaluation; Mallach S and Erhardt A wrote the paper.
Correspondence to: Andreas Erhardt, MD, Klinik für Gastroenterologie, Hepatologie und Infektiologie, Heinrich-Heine-Universität Düsseldorf, Moorenstr. 5, Düsseldorf D-40225, Germany. erhardt@uni-duesseldorf.de
Telephone: +49-211-8118268
Fax: +49-211-8118132
Received: January 28, 2008
Revised: March 6, 2008
Published online: April 28, 2008
Revised: March 6, 2008
Published online: April 28, 2008
Abstract
Gastrointestinal ulcers occur frequently and are mainly caused by H pylori infection. In this report, we present a rare case of gastro-duodenal ulcer following selective internal radiation therapy (SIRT). SIRT is a palliative treatment for unresectable liver tumours. During SIRT, 90Y-microspheres are infused into the hepatic artery. Pre-treatment evaluation for the presence of arterial shunts to neighbouring organs should be determined in order to avoid complications of SIRT.
Keywords: Selective internal radiation therapy, Duodenal ulcer, Colon carcinoma, Hepatic metastases, Gastroscopy