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Titolo:
Cronic radiation proctitis
Autore:
Tagkalidis, PP; Tjandra, JJ;
Indirizzi:
Royal Melbourne Hosp, Dept Gastroenterol, Melbourne, Vic, Australia Royal Melbourne Hosp Melbourne Vic Australia , Melbourne, Vic, Australia Royal Melbourne Hosp, Dept Colorectal Surg, Melbourne, Vic, Australia Royal Melbourne Hosp Melbourne Vic Australia , Melbourne, Vic, Australia
Titolo Testata:
ANZ journal of surgery
fascicolo: 4, volume: 71, anno: 2001,
pagine: 230 - 237
SICI:
1445-1433(200104)71:4<230:CRP>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
ARGON PLASMA COAGULATION; CHRONIC POSTRADIATION PROCTITIS; INDUCED HEMORRHAGIC PROCTITIS; YAG LASER TREATMENT; CHAIN FATTY-ACIDS; GASTROINTESTINAL-TRACT; UTERINE CERVIX; RECTAL-CANCER; DOUBLE-BLIND; SURGICAL-MANAGEMENT;
Keywords:
gastrointestinal haemorrhage; proctitis; radiation injuries; radiotherapy; rectal diseases;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
88
Recensione:
Indirizzi per estratti:
Indirizzo: Tjandra, JJ Royal Melbourne Hosp, PMC, Suite 15, Parkville, Vic 3050, Australia Royal Melbourne Hosp Suite 15 Parkville Vic Australia 3050 lia
Citazione:
P.P. Tagkalidis e J.J. Tjandra, "Cronic radiation proctitis", AUST NZ J S, 71(4), 2001, pp. 230-237

Abstract

Background: Increasing use of radiation therapy in pelvic malignancy has led to an increase in the incidence of chronic radiation proctitis. The commonest presenting complaint is rectal bleeding. Methods: A comprehensive MEDLINE search was undertaken for all articles relating to radiation proctitis. Results: The natural history of the disease is poorly documented but improvement is likely in milder forms, with persistence of symptoms in more severe forms. The pathological manifestations of the disease are summarized with particular comparison to acute radiation proctitis. The common clinical presentations and the principles of assessing patients with radiation-induced proctitis will be reviewed. The present article also reviews current treatment options, with particular reference to newer endoscopic therapies and surgical principles of management. Conclusions: The initial therapy for problematic rectal bleeding related to radiation-induced proctitis shoud be endoscopic therapy with argon plasmacoagulation or topical formalin therapy. Surgery is reserved as a last resort for resistant rectal bleeding and for complicated radiation-induced strictures and fistulas.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 23:17:39