Abstract

Radiation-induced intestinal injury is a well-recognized phenomenon occurring most commonly after treatment of cancers of the cervix, uterus, prostate, urinary bladder and testes. Treatment options include pharmacotherapy (with formaldehyde, hyperbaric oxygen, short-chain fatty acids, sucralfate, and other agents), and endoscopic therapy with varying lasers, or other energy delivery systems. The 2 most commonly applied techniques for the treatment today of radiation-induced rectal injury are thermal contact probes (heater and BICAP probes) and the argon plasma coagulator. Both are safe and effective and the choice between the two is usually based on the experience of the endoscopist and the availability of the equipment. Proper patient selection is of paramount importance to obtaining satisfactory results.

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