Abstract:
:This article describes two patients with hepatic metastases from colorectal cancer in whom a reversible enteropathy developed during the administration of hepatic artery infusion chemotherapy with 5-fluoro-2-deoxyuridine (5-FUdR) via an Infusaid Series 400 pump (Infusaid Corp., Sharon, MA). Both patients had severe diarrhea and signs that suggested small bowel obstruction. Barium studies revealed a distinctive radiologic appearance of severe narrowing of the ileum associated with complete loss of normal mucosal patterns. Results of an extensive evaluation for an infectious or toxin-related enterocolitis were negative. Perfusion studies confirmed the appropriate position of the catheters and revealed no extrahepatic perfusion. Systemic shunting of the 5-FUdR through the liver or tumor bed is postulated as the primary event, with the small bowel manifesting the major toxicity.
journal_name
Cancerjournal_title
Cancerauthors
Gluck WL,Akwari OE,Kelvin FM,Goodwin BJdoi
10.1002/1097-0142(19851115)56:10<2424::aid-cncr282subject
Has Abstractpub_date
1985-11-15 00:00:00pages
2424-7issue
10eissn
0008-543Xissn
1097-0142journal_volume
56pub_type
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