Argon Plasma Coagulation Versus Aplication of 4 Percent Formalin for the Treatment of Radiation Induced Hemorrhagic Proctitis

2007 ◽  
Vol 65 (5) ◽  
pp. AB255
Author(s):  
Rodrigo Castano ◽  
Juan D. Puerta ◽  
Eugenio Sanin ◽  
José I. Restrepo ◽  
Mario H. Ruiz ◽  
...  
2008 ◽  
Vol 6 (1) ◽  
pp. 0-0
Author(s):  
Narimantas Evaldas Samalavičius

Narimantas Evaldas SamalavičiusVilniaus universiteto Onkologijos instituto Chirurgijos klinika, Santariškių g. 1, LT-08406 VilniusEl paštas: [email protected] Radiacinis hemoraginis proktitas yra dėl spindulinio gydymo atsiradę tiesiosios žarnos pokyčiai, pasireiškiantys pogleivio fibroze ir obliteruojančiu endarteritu; išsivysčiusi talangiektazinė gleivinės neovaskuliarizacija lemia gleivinės trapumą ir polinkį kraujuoti. Esama įvairių radiacinio hemoraginio proktito gydymo metodikų. Pastaruoju metu efektyviausi literatūroje aprašomi metodai yra formalino aplikacija ir argono plazmos koaguliacija. Formalino aplikacija yra paprastas, pigus ir saugus gydymo būdas. Šiame straipsnyje pateikiamas naujas radiacinio hemoraginio proktito gydymo būdas – formalino aplikacijos. Pagrindiniai žodžiai: radiacinis proktitas, kraujavimas, formalino aplikacijaNew method of formalin application for the treatment of hemorrhagic radiation proctitis Narimantas Evaldas SamalavičiusVilnius University, Institute of Oncology, Clinic of Surgery,Santariškių str. 1, LT-08406 Vilnius, LithuaniaE-mail: [email protected] Radiation-induced hemorrhagic proctitis is a complication of radiotherapy for pelvic malignancies, which is caused by submucosal fibrosis, and endarteritis obliterans gives rise to telangiectatic neovasculature which is fragile and prone to bleeding. A number of treatment strategies of hemorrhagic radiation proctitis have been described. According to latest studies, formalin application and argon plasma coagulation seem to be most effective. Formalin application is a simple, inexpensive and safe method of treatment. A novel way of formalin application is described for those suffering from radiation hemorrhagic proctitis. Keywords: radiation proctitis, hemorrhage, formalin application


2008 ◽  
Vol 67 (5) ◽  
pp. AB321
Author(s):  
María Laura Gonzalez ◽  
Marina Cariello ◽  
Carlos Alberto MacíAs GóMez ◽  
Fernando Van Domselaar ◽  
Jorge R. DáVolos

2016 ◽  
Vol 89 (1) ◽  
pp. 104-105
Author(s):  
Tomoaki Moriyama ◽  
Minoru Shimizu ◽  
Tomoaki Fujikawa ◽  
Ichiro Kato ◽  
Shunsaku Koriki ◽  
...  

2009 ◽  
Vol 69 (5) ◽  
pp. AB280-AB281 ◽  
Author(s):  
Monica Pandolfi ◽  
Margareth Martino ◽  
Alessandra Bizzotto ◽  
Roberta Rea ◽  
Guido Costamagna ◽  
...  

2003 ◽  
Vol 18 (10) ◽  
pp. 1215-1218 ◽  
Author(s):  
Shinichi Wada ◽  
Kiichi Tamada ◽  
Takeshi Tomiyama ◽  
Hironori Yamamoto ◽  
Katsuyuki Nakazawa ◽  
...  

2013 ◽  
Vol 49 (2) ◽  
pp. 238-245 ◽  
Author(s):  
Hee-Won Kwak ◽  
Woo Jin Lee ◽  
Sang Myung Woo ◽  
Bo Hyun Kim ◽  
Joong-Won Park ◽  
...  

2003 ◽  
Vol 57 (3) ◽  
pp. 412-413 ◽  
Author(s):  
Emmanuel Ben Soussan ◽  
Nicolas Mathieu ◽  
Isabelle Roque ◽  
Michel Antonietti

2007 ◽  
Vol 46 (13) ◽  
pp. 975-977 ◽  
Author(s):  
Kazutaka Shukuwa ◽  
Keiichiro Kume ◽  
Masahiro Yamasaki ◽  
Ichiro Yoshikawa ◽  
Makoto Otsuki

Author(s):  
Ana Laranjo ◽  
Maria Carvalho ◽  
Andreia Rei ◽  
Nuno Veloso ◽  
Isabel Medeiros

Chronic radiation proctitis usually develops 3 months after therapy. Despite the lack of standard guidelines regarding treatment, argon plasma coagulation is often a safe and effective endoscopic therapy. However, rectal ulcers are a common complication after argon plasma coagulation. Nevertheless, most patients are asymptomatic and do not require additional monitoring or treatment. We report a case of an argon plasma coagulation-induced ulcer with relevant symptoms and refractory to medical treatment. The patient was treated with hyperbaric oxygen therapy and had complete resolution of the rectal ulcer. Hyperbaric oxygen therapy has shown efficacy in severe chronic proctitis and radiation-induced rectal ulcers, but no clinical report has ever been published on using hyperbaric oxygen therapy for ulcers after argon plasma coagulation. In this case, hyperbaric oxygen therapy was an effective alternative option and can be considered in patients with refractory argon plasma coagulation-induced rectal ulcers.


2015 ◽  
Vol 1 (1) ◽  
Author(s):  
Muhammad Adnan Masood ◽  
Hala Mansoor ◽  
Muhammad Qayyum Khan

Background: Radiotherapy is routinely used in the treatment of pelvic malignancies and about 2–5% of these patients develop radiation-induced proctitis or proctocolitis. This complication of radiotherapy is treated in different ways. Two of these treatments, argon plasma coagulation (APC) and formalin instillation, have both been reported as to be successful modalities, but data comparing them are scarce. We conducted this study to compare these two treatment options. Methods: We reviewed the charts of patients who had radiation-induced proctocolitis and who were treated endoscopically at our tertiary care cancer centre with either APC or formalin instillation. Outcomes of the two treatments were compared in terms of bleeding control after the first session of treatment, the number of sessions required and the nal response to therapy. Results: Out of a total of 26 patients presenting with haemorrhagic radiation proctocolitis, 11 were treated with APC and 15 with formalin instillation. Success after the rst session was 53% in the formalin instillation group compared to 18% in the APC-treated group. On repeated sessions, the final response to both treatment modalities was comparable. Conclusion: Efficacy of APC and formalin instillation in the treatment of haemorrhagic radiation proctocolitis is comparable although formalin showed a better outcome after the first session. Key words: Argon plasma coagulation, formalin instillation, proctitis, radiation-induced colitis 


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