Argon plasma coagulation in the treatment of hemorrhagic radiation proctitis
Hemorrhagic radiation proctosigmoiditis is a serious complication of pelvic radiation therapy. Pharmacotherapy is generally ineffective in the treatment of chronic radiation proctitis. Argon plasma coagulation is an effective, safe and well-tolerated therapy option for radiation proctitis. We report...
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Veröffentlicht in: | The Turkish journal of gastroenterology 2005-12, Vol.16 (4), p.232-235 |
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creator | Büyükberber, Mehmet Savaş, M Cemil Gülşen, Murat Taner Koruk, Mehmet Kadayifçi, Abdurrahman |
description | Hemorrhagic radiation proctosigmoiditis is a serious complication of pelvic radiation therapy. Pharmacotherapy is generally ineffective in the treatment of chronic radiation proctitis. Argon plasma coagulation is an effective, safe and well-tolerated therapy option for radiation proctitis. We report a case of hemorrhagic radiation proctosigmoiditis treated successfully with Argon plasma coagulation. We used argon plasma coagulation for mucosal coagulation in painting pattern set at 1.5 L/min and 60 W. After five therapy sessions with argon plasma coagulation, the patient's rectal bleeding and anemia resolved. After four months of argon plasma coagulation therapy, the patient is well and her endoscopic examination showed remarkable improvement of the vascular lesions. Blood transfusion requirement was resolved after therapy, and hemoglobin level increased from 8.2 g/dl to 11.5 g/dl. Argon plasma coagulation therapy may be useful as alternative treatment for hemorrhagic radiation proctitis. Future prospective controlled trials are necessary to confirm the efficacy of argon plasma coagulation in the treatment of radiation proctitis. |
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Pharmacotherapy is generally ineffective in the treatment of chronic radiation proctitis. Argon plasma coagulation is an effective, safe and well-tolerated therapy option for radiation proctitis. We report a case of hemorrhagic radiation proctosigmoiditis treated successfully with Argon plasma coagulation. We used argon plasma coagulation for mucosal coagulation in painting pattern set at 1.5 L/min and 60 W. After five therapy sessions with argon plasma coagulation, the patient's rectal bleeding and anemia resolved. After four months of argon plasma coagulation therapy, the patient is well and her endoscopic examination showed remarkable improvement of the vascular lesions. Blood transfusion requirement was resolved after therapy, and hemoglobin level increased from 8.2 g/dl to 11.5 g/dl. Argon plasma coagulation therapy may be useful as alternative treatment for hemorrhagic radiation proctitis. Future prospective controlled trials are necessary to confirm the efficacy of argon plasma coagulation in the treatment of radiation proctitis.</description><identifier>ISSN: 1300-4948</identifier><identifier>PMID: 16547855</identifier><language>eng</language><publisher>Turkey: Türk Gastroenteroloji Vakfı</publisher><subject>Aged ; Argon ; Carcinoma - radiotherapy ; Colitis ; Colonoscopy ; Diagnosis, Differential ; Digestive system diseases ; Female ; Gastrointestinal Hemorrhage - diagnosis ; Gastrointestinal Hemorrhage - etiology ; Gastrointestinal Hemorrhage - surgery ; Humans ; Kadın ; Kolit ; Laser Coagulation - methods ; Proctitis - complications ; Proctitis - diagnosis ; Proctocolitis ; Proktokolit ; Radiation Injuries - complications ; Radiation Injuries - diagnosis ; Sindirim sistemi hastalıkları ; Tedavi sonucu ; Treatment Outcome ; Uterine Cervical Neoplasms - radiotherapy ; Yaşlı</subject><ispartof>The Turkish journal of gastroenterology, 2005-12, Vol.16 (4), p.232-235</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16547855$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Büyükberber, Mehmet</creatorcontrib><creatorcontrib>Savaş, M Cemil</creatorcontrib><creatorcontrib>Gülşen, Murat Taner</creatorcontrib><creatorcontrib>Koruk, Mehmet</creatorcontrib><creatorcontrib>Kadayifçi, Abdurrahman</creatorcontrib><title>Argon plasma coagulation in the treatment of hemorrhagic radiation proctitis</title><title>The Turkish journal of gastroenterology</title><addtitle>Turk J Gastroenterol</addtitle><description>Hemorrhagic radiation proctosigmoiditis is a serious complication of pelvic radiation therapy. Pharmacotherapy is generally ineffective in the treatment of chronic radiation proctitis. Argon plasma coagulation is an effective, safe and well-tolerated therapy option for radiation proctitis. We report a case of hemorrhagic radiation proctosigmoiditis treated successfully with Argon plasma coagulation. We used argon plasma coagulation for mucosal coagulation in painting pattern set at 1.5 L/min and 60 W. After five therapy sessions with argon plasma coagulation, the patient's rectal bleeding and anemia resolved. After four months of argon plasma coagulation therapy, the patient is well and her endoscopic examination showed remarkable improvement of the vascular lesions. Blood transfusion requirement was resolved after therapy, and hemoglobin level increased from 8.2 g/dl to 11.5 g/dl. Argon plasma coagulation therapy may be useful as alternative treatment for hemorrhagic radiation proctitis. Future prospective controlled trials are necessary to confirm the efficacy of argon plasma coagulation in the treatment of radiation proctitis.</description><subject>Aged</subject><subject>Argon</subject><subject>Carcinoma - radiotherapy</subject><subject>Colitis</subject><subject>Colonoscopy</subject><subject>Diagnosis, Differential</subject><subject>Digestive system diseases</subject><subject>Female</subject><subject>Gastrointestinal Hemorrhage - diagnosis</subject><subject>Gastrointestinal Hemorrhage - etiology</subject><subject>Gastrointestinal Hemorrhage - surgery</subject><subject>Humans</subject><subject>Kadın</subject><subject>Kolit</subject><subject>Laser Coagulation - methods</subject><subject>Proctitis - complications</subject><subject>Proctitis - diagnosis</subject><subject>Proctocolitis</subject><subject>Proktokolit</subject><subject>Radiation Injuries - complications</subject><subject>Radiation Injuries - diagnosis</subject><subject>Sindirim sistemi hastalıkları</subject><subject>Tedavi sonucu</subject><subject>Treatment Outcome</subject><subject>Uterine Cervical Neoplasms - radiotherapy</subject><subject>Yaşlı</subject><issn>1300-4948</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9j81KxDAcxHNQ3HX1DUTyAoV8b3JcFr-gsBc9L0nzTxtt2pJmD769haqngfkNw8wV2lJOSCWM0Bt0O8-fhHBNFbtBG6qk2Gspt6g-5HYc8NTbOVncjLa99LbExYoDLh3gksGWBEPBY8AdpDHnzraxwdn6uCanPDYlljjfoetg-xnuf3WHPp6f3o-vVX16eTse6mqiQvJKKaadE6EhRjBG2TIk7A1XnhmqgyGeKapc4JYYsM5zSr2FRoLmAEEC4zv0sPYuW79cTOcpx2Tz91kxLvmCH1c8XVwC_0__XvMf-2VSsQ</recordid><startdate>200512</startdate><enddate>200512</enddate><creator>Büyükberber, Mehmet</creator><creator>Savaş, M Cemil</creator><creator>Gülşen, Murat Taner</creator><creator>Koruk, Mehmet</creator><creator>Kadayifçi, Abdurrahman</creator><general>Türk Gastroenteroloji Vakfı</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>GIY</scope><scope>GIZ</scope><scope>GJA</scope><scope>GJB</scope></search><sort><creationdate>200512</creationdate><title>Argon plasma coagulation in the treatment of hemorrhagic radiation proctitis</title><author>Büyükberber, Mehmet ; Savaş, M Cemil ; Gülşen, Murat Taner ; Koruk, Mehmet ; Kadayifçi, Abdurrahman</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p1453-6628bb4fc0942212855f7936d2918f90d2616bf3a09eabd311daec5e83eef5e23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Aged</topic><topic>Argon</topic><topic>Carcinoma - radiotherapy</topic><topic>Colitis</topic><topic>Colonoscopy</topic><topic>Diagnosis, Differential</topic><topic>Digestive system diseases</topic><topic>Female</topic><topic>Gastrointestinal Hemorrhage - diagnosis</topic><topic>Gastrointestinal Hemorrhage - etiology</topic><topic>Gastrointestinal Hemorrhage - surgery</topic><topic>Humans</topic><topic>Kadın</topic><topic>Kolit</topic><topic>Laser Coagulation - methods</topic><topic>Proctitis - complications</topic><topic>Proctitis - diagnosis</topic><topic>Proctocolitis</topic><topic>Proktokolit</topic><topic>Radiation Injuries - complications</topic><topic>Radiation Injuries - diagnosis</topic><topic>Sindirim sistemi hastalıkları</topic><topic>Tedavi sonucu</topic><topic>Treatment Outcome</topic><topic>Uterine Cervical Neoplasms - radiotherapy</topic><topic>Yaşlı</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Büyükberber, Mehmet</creatorcontrib><creatorcontrib>Savaş, M Cemil</creatorcontrib><creatorcontrib>Gülşen, Murat Taner</creatorcontrib><creatorcontrib>Koruk, Mehmet</creatorcontrib><creatorcontrib>Kadayifçi, Abdurrahman</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ULAKBIM - Mühendislik ve Temel Bilimler Veri Tabani</collection><collection>ULAKBIM - Yaşam Bilimleri Veri Tabani</collection><collection>ULAKBIM - Turk Sosyal Bilimler Veri Tabani</collection><collection>ULAKBIM - Türk Tıp Veri Tabani</collection><jtitle>The Turkish journal of gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Büyükberber, Mehmet</au><au>Savaş, M Cemil</au><au>Gülşen, Murat Taner</au><au>Koruk, Mehmet</au><au>Kadayifçi, Abdurrahman</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Argon plasma coagulation in the treatment of hemorrhagic radiation proctitis</atitle><jtitle>The Turkish journal of gastroenterology</jtitle><addtitle>Turk J Gastroenterol</addtitle><date>2005-12</date><risdate>2005</risdate><volume>16</volume><issue>4</issue><spage>232</spage><epage>235</epage><pages>232-235</pages><issn>1300-4948</issn><abstract>Hemorrhagic radiation proctosigmoiditis is a serious complication of pelvic radiation therapy. Pharmacotherapy is generally ineffective in the treatment of chronic radiation proctitis. Argon plasma coagulation is an effective, safe and well-tolerated therapy option for radiation proctitis. We report a case of hemorrhagic radiation proctosigmoiditis treated successfully with Argon plasma coagulation. We used argon plasma coagulation for mucosal coagulation in painting pattern set at 1.5 L/min and 60 W. After five therapy sessions with argon plasma coagulation, the patient's rectal bleeding and anemia resolved. After four months of argon plasma coagulation therapy, the patient is well and her endoscopic examination showed remarkable improvement of the vascular lesions. Blood transfusion requirement was resolved after therapy, and hemoglobin level increased from 8.2 g/dl to 11.5 g/dl. Argon plasma coagulation therapy may be useful as alternative treatment for hemorrhagic radiation proctitis. Future prospective controlled trials are necessary to confirm the efficacy of argon plasma coagulation in the treatment of radiation proctitis.</abstract><cop>Turkey</cop><pub>Türk Gastroenteroloji Vakfı</pub><pmid>16547855</pmid><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Aged Argon Carcinoma - radiotherapy Colitis Colonoscopy Diagnosis, Differential Digestive system diseases Female Gastrointestinal Hemorrhage - diagnosis Gastrointestinal Hemorrhage - etiology Gastrointestinal Hemorrhage - surgery Humans Kadın Kolit Laser Coagulation - methods Proctitis - complications Proctitis - diagnosis Proctocolitis Proktokolit Radiation Injuries - complications Radiation Injuries - diagnosis Sindirim sistemi hastalıkları Tedavi sonucu Treatment Outcome Uterine Cervical Neoplasms - radiotherapy Yaşlı |
title | Argon plasma coagulation in the treatment of hemorrhagic radiation proctitis |
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