“…Second, reflux of pure ethanol into the left gastric artery, which may be attributed to an excessively rapid injection during PEIT, was the most likely cause of the gastric ulcer. Su et al (4) reported a case of acute gastric mucosal injury after PEIT for a left lobe HCC. The assumed mechanisms were similar to those of PEIT‐induced gastric ulcer (1).…”
mentioning
confidence: 99%
“…The assumed mechanisms were similar to those of PEIT‐induced gastric ulcer (1). Additionally, Su et al (4) thought that a direct toxic effect of high‐concentration alcohol on the gastric wall could not be fully ruled out.…”
“…Second, reflux of pure ethanol into the left gastric artery, which may be attributed to an excessively rapid injection during PEIT, was the most likely cause of the gastric ulcer. Su et al (4) reported a case of acute gastric mucosal injury after PEIT for a left lobe HCC. The assumed mechanisms were similar to those of PEIT‐induced gastric ulcer (1).…”
mentioning
confidence: 99%
“…The assumed mechanisms were similar to those of PEIT‐induced gastric ulcer (1). Additionally, Su et al (4) thought that a direct toxic effect of high‐concentration alcohol on the gastric wall could not be fully ruled out.…”
Ethanol leakage is not uncommon when performing PEI; however, it seems to be safe when the leakage is less than 15 mL. Injection of a small amount of ethanol or monitoring by CT may be helpful in preventing the development of these complications.
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