DDS-SIRC Cooperative Conferences Feel the Burn: RFA for Chronic Radiation Proctitis
Chronic radiation proctitis, although relatively rare, can be the source of severe comorbidity in patients who had undergone prior radiotherapy for pelvic malignancy. Although current treatments for radiation proctitis include argon plasma coagulation, heater probe, bipolar neodymium/yttrium aluminu...
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| Veröffentlicht in: | Digestive diseases and sciences 2024-09, Vol.69 (9), p.3147 |
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| creator | De Sena, Gabriele Mongardini, Federico Maria Porpora, Danilo Mauro, Maria Bentivoglio, Davide Centore, Davide Brusciano, Luigi Gambardella, Claudio Lauro, Augusto Docimo, Ludovico Napolitano, Vincenzo |
| description | Chronic radiation proctitis, although relatively rare, can be the source of severe comorbidity in patients who had undergone prior radiotherapy for pelvic malignancy. Although current treatments for radiation proctitis include argon plasma coagulation, heater probe, bipolar neodymium/yttrium aluminum garnet (Nd: YAG) lasers, these interventions are often burdened by the frequent occurrence of rectal ulcerations and stenosis. Since radiofrequency ablation (RFA) is frequently used to ablate esophageal malignancy and pre-malignancy, we report the efficacy of RFA using through the scope system in two patients with rectal bleeding due to radiation proctitis. In both cases, the procedure was well-tolerated with hemostasis achieved after 1 or 2 sessions of RFA. Mucosal re-epithelialization was observed in areas of previous bleeding with no stenosis or ulceration observed at follow-up. |
| doi_str_mv | 10.1007/s10620-024-08553-z |
| format | Article |
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Although current treatments for radiation proctitis include argon plasma coagulation, heater probe, bipolar neodymium/yttrium aluminum garnet (Nd: YAG) lasers, these interventions are often burdened by the frequent occurrence of rectal ulcerations and stenosis. Since radiofrequency ablation (RFA) is frequently used to ablate esophageal malignancy and pre-malignancy, we report the efficacy of RFA using through the scope system in two patients with rectal bleeding due to radiation proctitis. In both cases, the procedure was well-tolerated with hemostasis achieved after 1 or 2 sessions of RFA. 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| subjects | Aged Chronic Disease Female Gastrointestinal Hemorrhage - etiology Humans Male Middle Aged Proctitis - etiology Radiation Injuries - etiology Radiation Injuries - surgery Radiofrequency Ablation - adverse effects Radiofrequency Ablation - methods |
| title | DDS-SIRC Cooperative Conferences Feel the Burn: RFA for Chronic Radiation Proctitis |
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