A case of severe bevacizumab-induced ischemic pancolitis, treated with conservative management

Bevacizumab (Avastin(Ⓡ)) is a monoclonal antibody against the vascular endothelial growth factor (VEGF) receptor that increases the overall survival rate when added to standard chemotherapy regimens in patients with metastatic colorectal cancer. The known toxicities of bevacizumab are hypertension, proteinuria, wound healing complications, arterial thrombosis, bleeding, and gastrointestinal complications. Especially ischemic colitis can rapidly develop into bowel perforation, so an emergency operation often is needed. Recently, a 65-year-old male patient developed ischemic pancolitis after FOLFOX (85 mg/m(2) Oxaliplatin, d1; 200 mg/m(2) Leucovorin, d1; 400 mg/m(2) 5-FU iv bolus, d1-2; and 600 mg/m(2) 5-FU, d1-2, every two wk) and Bevacizumab combination chemotherapy was administered. However, he recovered after early conservative care without surgery. We report this case with a review of literature.

Medienart:

E-Artikel

Erscheinungsjahr:

2011

Erschienen:

2011

Enthalten in:

Zur Gesamtaufnahme - volume:58

Enthalten in:

The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi - 58(2011), 1 vom: 19. Juli, Seite 42-6

Sprache:

Koreanisch

Beteiligte Personen:

Lee, Ha Ni [VerfasserIn]
Lee, Myung Ah [VerfasserIn]
Kim, Sang Woo [VerfasserIn]
Lim, Yejee [VerfasserIn]
Lee, Hwayoung [VerfasserIn]
Lee, Hae Min [VerfasserIn]
Won, Hye Sung [VerfasserIn]
Chun, Sang Hoon [VerfasserIn]

Themen:

04ZR38536J
2S9ZZM9Q9V
Antibodies, Monoclonal, Humanized
Bevacizumab
Case Reports
Fluorouracil
Journal Article
Leucovorin
Organoplatinum Compounds
Oxaliplatin
Q573I9DVLP
U3P01618RT

Anmerkungen:

Date Completed 07.12.2011

Date Revised 12.11.2019

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM210142278