Pancreatitis after percutaneous ethanol injection into HCC: a minireview of the literature
- PMID: 18702805
- PMCID: PMC2531081
- DOI: 10.1186/1756-9966-27-28
Pancreatitis after percutaneous ethanol injection into HCC: a minireview of the literature
Abstract
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.
References
-
- Tapani E, Taavitsainen M, Lindros K, Vehmas T, Lehtonen E. Toxicity of ethanol in low concentrations. Experimental evaluation in cell culture. Acta Radiol. 1996;37:923–926. - PubMed
-
- Redvanly RD, Chezmar JL, Strauss RM, Galloway JR, Boyer TD, Bernardino ME. Malignant hepatic tumors: safety of high-dose percutaneous ethanol ablation therapy. Radiology. 1993;188:283–85. - PubMed
-
- Tapani E, Soiva M, Lavonen J, Ristkari S, Vehmas T. Complications following high-dose percutaneous ethanol injection into hepatic tumors. Acta Radiol. 1996;37:655–659. - PubMed
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