Radyasyon rektiti (proktiti) ve argon plazma koagülasyonu
Yıl 2023,
Cilt: 6 Sayı: 1, 91 - 94, 09.06.2023
Ahmet Uyanıkoğlu
,
Emine Çakıcı
,
Süleyman Sari
Öz
Radyasyon rektiti (proktiti), pelviste yerleşik tümörlerin tedavisi sırasında Radyoterapi (RT) alan hastalarda görülen ciddi bir komplikasyondur. Tanı RT sonrası genellikle alt gastrointestinal sistem (GİS) kanaması ve anemi şikayetleriyle başvuran hastalara kolonoskopi ile konulmaktadır. RT sonrası tekrarlayıcı kanlı ishal şikayetleri ve anemi ile prezente olan klinik ve kolonoskopi ile radyasyon proktiti tanısı konulan ve argon plazma koagülasyonu (APC) uygulanan 2 hasta sunulmuştur.
Kaynakça
- Siow SL, Mahendran HA, Seo CJ. Complication and remission rates after endoscopic argon plasma coagulation in the treatment of haemorrhagic radiation proctitis. Int J Colorectal Dis. 2017 Jan;32(1):131-134. doi: 10.1007/s00384-016-2635-1. Epub 2016 Aug 15. PMID: 27527929.
- Sarin A, Safar B. Management of radiation proctitis. Gastroenterol Clin North Am. 2013 Dec;42(4):913-25. doi: 10.1016/j.gtc.2013.08.004. PMID: 24280407.
- Theis VS, Sripadam R, Ramani V, Lal S. Chronic radiation enteritis. Clin Oncol (R Coll Radiol). 2010 Feb;22(1):70-83. doi: 10.1016/j.clon.2009.10.003. Epub 2009 Nov 7. PMID: 19897345.
- Hale MF. Radiation enteritis: from diagnosis to management. Curr Opin Gastroenterol. 2020 May;36(3):208-214. doi: 10.1097/MOG.0000000000000632. PMID: 32141897.
- Düzenli T, Demirci H. Radyasyon Enterokoliti. Güncel Gastroenteroloji 2017: 21(4); 337-344. http://guncel.tgv.org.tr/journal/72/pdf/100560.pdf
- Dalsania RM, Shah KP, Stotsky-Himelfarb E, Hoffe S, et al. Management of Long-Term Toxicity From Pelvic Radiation Therapy. Am Soc Clin Oncol Educ Book. 2021 Mar;41:1-11. doi: 10.1200/EDBK_323525. PMID: 33793314.
- Uyanıkoğlu A. Radyasyon rektiti (proktiti). Pratik Gastroenteroloji, editör: Ahmet Uyanıkoğlu. US Akademi 2021: 89-90.
Radiation rectitis (proctitis) and argon plasma coagulation
Yıl 2023,
Cilt: 6 Sayı: 1, 91 - 94, 09.06.2023
Ahmet Uyanıkoğlu
,
Emine Çakıcı
,
Süleyman Sari
Öz
Radiation rectitis (proctitis) is a serious complication seen in Radiotherapy (RT) patients during the treatment of tumors located in the pelvis. Diagnosis is usually made by colonoscopy in patients presenting with lower gastrointestinal system (GIS) bleeding and anemia after RT. Two patients who presented with recurrent bloody diarrhea and anemia after RT, who were diagnosed with radiation proctitis by clinical and colonoscopy and underwent argon plasma coagulation (APC) are presented.
Kaynakça
- Siow SL, Mahendran HA, Seo CJ. Complication and remission rates after endoscopic argon plasma coagulation in the treatment of haemorrhagic radiation proctitis. Int J Colorectal Dis. 2017 Jan;32(1):131-134. doi: 10.1007/s00384-016-2635-1. Epub 2016 Aug 15. PMID: 27527929.
- Sarin A, Safar B. Management of radiation proctitis. Gastroenterol Clin North Am. 2013 Dec;42(4):913-25. doi: 10.1016/j.gtc.2013.08.004. PMID: 24280407.
- Theis VS, Sripadam R, Ramani V, Lal S. Chronic radiation enteritis. Clin Oncol (R Coll Radiol). 2010 Feb;22(1):70-83. doi: 10.1016/j.clon.2009.10.003. Epub 2009 Nov 7. PMID: 19897345.
- Hale MF. Radiation enteritis: from diagnosis to management. Curr Opin Gastroenterol. 2020 May;36(3):208-214. doi: 10.1097/MOG.0000000000000632. PMID: 32141897.
- Düzenli T, Demirci H. Radyasyon Enterokoliti. Güncel Gastroenteroloji 2017: 21(4); 337-344. http://guncel.tgv.org.tr/journal/72/pdf/100560.pdf
- Dalsania RM, Shah KP, Stotsky-Himelfarb E, Hoffe S, et al. Management of Long-Term Toxicity From Pelvic Radiation Therapy. Am Soc Clin Oncol Educ Book. 2021 Mar;41:1-11. doi: 10.1200/EDBK_323525. PMID: 33793314.
- Uyanıkoğlu A. Radyasyon rektiti (proktiti). Pratik Gastroenteroloji, editör: Ahmet Uyanıkoğlu. US Akademi 2021: 89-90.