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THE DEVELOPMENT OF A TREATMENT PROTOCOL FOR PATIENTS WITH CHRONIC RADIATION‐INDUCED RECTAL BLEEDING
Author(s) -
Chapuis P.,
Dent O.,
Bokey E.,
Galt E.,
Zelas P.,
Nicholls M.,
Yuile P.,
Mameghan H.
Publication year - 1996
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1996.tb00717.x
Subject(s) - medicine , radiation proctitis , complication , surgery , proctitis , disease , ulcerative colitis
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 rnucosa. 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.