THE DEVELOPMENT OF A TREATMENT PROTOCOL FOR PATIENTS WITH CHRONIC RADIATION‐INDUCED RECTAL BLEEDING

Pierre H. Chapuis, Owen F. Dent, E. L. Bokey, Elizabeth Galt, P. Zelas, Maryann D. Nicholls, Phillip Yuile, Hedy Mameghan

Australian and New Zealand Journal of Surgery · 1996 · 53 citations · 19 references

Concepts

Abstract

UNLABELLED: BACKGROUNDS AND METHODS: This study reviews the clinical features and reports the preliminary results of treatment of 34 consecutive patients with clinically significant bleeding from chronic, radiation-induced proctitis, using a combination of endoscopic YAG Laser and the application of topical formalin dressings to the rectal mucosa. RESULTS: Bleeding ceased in 25 patients (74%); bleeding continued but occurred only slightly and occasionally in five patients (15%); and three patients required operation to control the bleeding (9%). One patient relapsed after treatment and died while receiving a further transfusion. CONCLUSIONS: This experience has been used to develop a management protocol for patients with this serious complication.

References

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