Int J Colorectal Dis (2017) 32:1285–1288 DOI 10.1007/s00384-017-2859-8 ORIGINAL ARTICLE Efficacy and safety of argon plasma coagulation in the management of extensive chronic radiation proctitis after pelvic radiotherapy for cervical carcinoma 1 2 Shyama Prem Sudha & D. Kadambari Accepted: 7 July 2017 /Published online: 13 July 2017 Springer-Verlag GmbH Germany 2017 Abstract treatment was10.04 g/dl (SD 2.0). Compared with pre- Introduction Chronic radiation proctitis (CRP) usually de- treatment levels after APC, there was a mean increase in velops 90 days or more after radiation. Currently, there is no haemoglobin of 4.61 + 1.78 [95% CI 2.97–6.25, p =0.00]. standard available for the treatment of CRP. In argon plasma Conclusion Argon plasma coagulation is a safe, well tolerated coagulation, monopolar diathermy is used to ionise the argon and effective treatment option in extensive chronic radiation gas which coagulates the telengiectatic vessels in a noncontact proctitis which is refractory to medical management. fashion. However, there are very few studies which have re- ported its use in extensive CRP. We report the efficacy and Keywords Argon plasma coagulation Chronic radiation safety of APC in seven patients with recurrent, extensive proctitis grade 3 radiation proctitis. Materials and methods This is a retrospective
International Journal of Colorectal Disease – Springer Journals
Published: Jul 13, 2017
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