Editorial
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 26, 2023; 11(36): 8434-8439
Published online Dec 26, 2023. doi: 10.12998/wjcc.v11.i36.8434
Post-trans-arterial chemoembolization hepatic necrosis and biliary stenosis: Clinical charateristics and endoscopic approach
Silvia Cocca, Lorenzo Carloni, Margherita Marocchi, Giuseppe Grande, Marcello Bianchini, Antonio Colecchia, Rita Conigliaro, Helga Bertani
Silvia Cocca, Margherita Marocchi, Giuseppe Grande, Rita Conigliaro, Helga Bertani, Gastroenterology and Endoscopy Unit, Azienda Ospedaliero Universitaria Policlinico di Modena, Modena 41121, Italy
Lorenzo Carloni, Department of Medical and Surgical Sciences, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna 00100, Italy
Marcello Bianchini, Antonio Colecchia, Department of Internal Medicine, Azienda Ospedaliero Universitaria Policlinico di Modena, Modena 41121, Italy
Author contributions: Cocca S contributed to conceptualization and writing - original draft; Carloni L, Marocchi M, Bertani H, Bianchini M, Colecchia A contributed to contributed to writing - review & editing; Bertani H contributed to supervision; Marocchi M and Grande G contributed to review and figures editing; Conigliaro R contributed to supervision and conceptualization; All authors have read and approved the final manuscript.
Conflict-of-interest statement: All the authors declare no conflicts of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Silvia Cocca, MD, PhD, Staff Physician, Gastroenterology and Endoscopy Unit, Azienda Ospedaliero Universitaria Policlinico di Modena, Via Pietro Giardini 1355, Modena 41121, Italy. silvia.cocca@gmail.com
Received: November 9, 2023
Peer-review started: November 9, 2023
First decision: November 22, 2023
Revised: December 1, 2023
Accepted: December 6, 2023
Article in press: December 6, 2023
Published online: December 26, 2023
Processing time: 42 Days and 21.6 Hours
Core Tip

Core Tip: Multifocal hepatocarcinoma (HCC) can benefit from local treatments with curative or down-staging purposes. Trans-arterial chemoembolization (TACE) is the treatment of choice in patients with a diagnosis of HCC not eligible for surgery (resection or liver transplantation) and ablation. TACE is known to be a safe procedure but can lead to both self-limiting mild adverse events and, albeit rarely, severe hepatic and biliary damage due to extensive hepatic ischemia.