Korean J Gastrointest Endosc > Volume 35(4); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;35(4): 262-266.
사이버나이프 조사 후 발생한 급성 위 및 십이지장 손상 1예
장재혁ㆍ최명규ㆍ유찬란ㆍ남관우ㆍ권정현ㆍ서정필ㆍ박호성ㆍ백창렬ㆍ박재명ㆍ조유경ㆍ이인석ㆍ김상우ㆍ정인식
가톨릭대학교 의과대학 내과학교실
A Case of Acute Injury in the Stomach and Duodenum after Cyberknife Therapy
Jae Hyuck Chang, M.D., Myung Gyu Choi, M.D., Chan Ran You, M.D., Kwan Woo Nam, M.D., Jung Hyun Kwon, M.D., Jung Pil Suh, M.D., Ho Sung Park, M.D., Chang Nyol Paik, M.D., Jae Myung Park, M.D., Yu Kyung Cho, M.D., In Seok Lee, M.D., Sang Woo Kim, M.D. and I
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
Abstract
Therapeutic radiation therapy has developed new technologies that use a high dose of radiation with three- dimensional targeting for a few days instead of conventional radiation therapy that uses small doses of radiation for a longer period of time. A Cyberknife is an image- guided robotic system for stereotactic radiosurgery. The Cyberknife was first developed for the treatment of intracranial lesions, and recently has been used for tumors in the chest and abdomen. A Cyberknife can use a high dose of radiation for treatment of a hepatocellular carcinoma and can be employed to minimize radiation injury around the tumor. However, in a large tumor, the therapeutic efficacy is reduced and injury can occur around the organs. We report a case of acute injury in the stomach and duodenum after Cyberknife treatment of a hepatocellular carcinoma near the hepatic portal area. (Korean J Gastrointest Endosc 2007;35:262-266)
Key Words: Cyberknife, Radiation injury, Gastric ulcer, Duodenal ulcer, Stricture
주요어: 사이버나이프, 방사선 손상, 위궤양, 십이지장궤양, 협착
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