The side effects and complications of percutaneous iodine-125 seeds implantation under CT-guide for patients with advanced pancreatic cancer.

Autor: Lv WF; Department of Interventional Radiology, Anhui Provincial Hospital, The First Affiliated Hospital of University of Science and Technology of China, Hefei, Anhui, China Department of Radiology, BIR Hospital, National Academy of Medical Sciences, Kathmandu, Nepal., Lu D, Xiao JK, Mukhiya G, Tan ZX, Cheng DL, Zhou CZ, Zhang XM, Zhang ZF, Hou CL
Jazyk: angličtina
Zdroj: Medicine [Medicine (Baltimore)] 2017 Dec; Vol. 96 (52), pp. e9535.
DOI: 10.1097/MD.0000000000009535
Abstrakt: Purpose: The present study investigates the side effects and complications of computed tomography (CT)-guided percutaneous iodine-125 (I-125) seeds implantation for advanced pancreatic cancer.
Methods: The clinical data were retrospectively analyzed for patients treated with implantation of I-125 seeds under CT-guide in our hospital from May 2010 to April 2015. The side effects and complications were collected and their possible reasons were analyzed.
Results: A total of 78 patients were enrolled. The side effects were categorized as fever in 29 cases (37.18%), abdominal pain in 26 cases (33.33%), nausea and vomiting in 9 cases (11.54%), diarrhea in 5 cases (6.41%), and constipation in 4 cases (5.13%). Complications were composed of pancreatitis in 9 cases (11.54%), infection in 5 cases (6.41%), seed migration in 2 cases (2.56%), intestinal perforation in 1 case (1.28%), and intestinal obstruction in 1 case. The incidence of complication was 23.08% (18/78). The difference in incidence of complication was statistically significant between patients implanted with ≤27 seeds and those with >27 seeds (P = .032).
Conclusion: The side effects and complications frequently occur in implantation of I-125 seeds for patients with advanced pancreatic cancer. More concern should be given to the patients treated by this technique.
(Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.)
Databáze: MEDLINE