Gastrointestinal perforation associated with bevacizumab in metastatic colorectal cancer

被引:3
作者
Fang, Kunpeng [1 ]
Wang, Jie [2 ]
Yuan, Jianyong [3 ]
Sui, Chengjun [1 ]
Zhi, Jiajun [4 ]
Xia, Yong [5 ]
Sun, Minmin [6 ]
机构
[1] Naval Med Univ, Affiliated Hosp 3, Eastern Hepatobiliary Surg Hosp, Dept Special Treatment 1, Shanghai, Peoples R China
[2] Naval Med Univ, Eastern Hepatobiliary Surg Hosp, Dept Hepat Surg 2, Affiliated Hosp 3, Shanghai, Peoples R China
[3] Shanghai Univ Tradit Chinese Med, Yueyang Hosp Integrated Tradit Chinese & Western M, Hepatobiliary Pancreat Surg, Shanghai, Peoples R China
[4] Shanghai Jiao Tong Univ, Xin Hua Hosp, Sch Med, Dept Colorectal & Anal Surg, Shanghai, Peoples R China
[5] Naval Med Univ, Affiliated Hosp 3, Eastern Hepatobiliary Surg Hosp, Dept Hepat Surg 4, 225 Changhai Rd, Shanghai 200438, Peoples R China
[6] Naval Med Univ, Affiliated Hosp 3, Eastern Hepatobiliary Surg Hosp, Dept Hepat Surg 1, 225 Changhai Rd, Shanghai 200438, Peoples R China
关键词
adverse reactions; bevacizumab; colorectal cancer; gastrointestinal perforation; SURVIVAL;
D O I
10.1002/cnr2.1952
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
ObjectiveTo investigate the risk factors for gastrointestinal perforation in metastatic colorectal cancer patients receiving bevacizumab.MethodsWe retrospectively reviewed 217 patients with metastatic colorectal cancer receiving bevacizumab to investigate the risk factors for gastrointestinal perforation. Three patients occurred intestinal perforation after receiving bevacizumab. We analyzed the clinical characteristics of three patients with intestinal perforation.ResultsAll patients receiving bevacizumab. Three of 217 patients occurred intestinal perforation after receiving bevacizumab. Patient no. 1 was 70 years old, female, having history of intestinal obstruction. The patient occurred intestinal perforation and ultimately died after receiving bevacizumab. Patient no. 2 was 59 years old, female, having history of intestinal obstruction. The patient occurred intestinal perforation after receiving bevacizumab, and recovered smoothly after symptomatic treatment. Patient no. 3 was 60 years old, female, having history of intestinal obstruction. The patient occurred intestinal perforation and ultimately died after receiving bevacizumab.ConclusionsPatients with advanced colorectal cancer receiving bevacizumab are at risk of gastrointestinal perforation. The patient's age, gender and history of bowel obstruction may be associated with gastrointestinal perforation.
引用
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页数:7
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