Argon Plasma Coagulation in Radiation-induced Proctitis

Abstract: Background Argon plasma coagulation (APC) is a non-tactile ablative therapy that helps to stop rectal bleeding in patients who have developed actinic proctitis after exposure to radiotherapy. This approach seems to be more effective than medications or surgical procedures. Objective To review the literature to verify the effectiveness of APC in the treatment of patients with actinic proctitis induced by radiation therapies. Methods A systematic search was conducted on the following databases: MEDLINE/PubMed, LILACS, SCIELO, and the Cochrane Central Register of Controlled Trials. We identified 81 studies, and 5 of them fulfilled the inclusion criteria. Results In the articles included, a total of 236 patients were evaluated. Most of them were men (67.7%) with a mean age of 66.6 years. Prostate cancer was the main cause of actinic proctitis (67.3%), and control of the bleeding was achieved in 83.3% of the cases, after a mean of 1.67 session of APC. Moreover, 66 patients had complications with the treatment, and rectal pain was the most referred. Conclusions Argon plasma coagulation is a well-tolerated and effective treatment to control rectal bleeding in patients who underwent radiotherapy, and the number of sessions varies from 1 to 2, according to the case.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Argon Plasma Coagulation in Radiation-induced Proctitis ; day:27 ; month:06 ; year:2022
Journal of coloproctology ; (27.06.2022)

Beteiligte Personen und Organisationen
Góes, Fernanda Machado de Araujo
Ribeiro, Rebeca Sadigursky
Portugal, Matheus Mascarenhas
Abreu, Glicia Estevam de

DOI
10.1055/s-0042-1750075
URN
urn:nbn:de:101:1-2022081110511876664288
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
15.08.2025, 07:20 MESZ

Datenpartner

Dieses Objekt wird bereitgestellt von:
Deutsche Nationalbibliothek. Bei Fragen zum Objekt wenden Sie sich bitte an den Datenpartner.

Beteiligte

  • Góes, Fernanda Machado de Araujo
  • Ribeiro, Rebeca Sadigursky
  • Portugal, Matheus Mascarenhas
  • Abreu, Glicia Estevam de

Ähnliche Objekte (12)