The Role of Argon Plasma Coagulation in Radiation Proctitis: Obtaining Real Clinical Data

Hasan Maulahela

doi:10.24871/222202193-94

Abstract

Highlights

Radiation proctitis can be classified into acute proctitis which occurs immediately after initiation of radiotherapy and chronic proctitis which symptoms occur after months or years after cessation of therapy.[1]
There have been no large controlled trials evaluating the treatment of radiation proctitis, most of the experience come from small clinical trial or retrospective studies
Coagulation method that has been used including YAG laser coagulation or argon plasma coagulation (APC). These coagulation methods based on delivery of thermal coagulation

Summary

Introduction

Radiation to the pelvis is one of the most important treatment in pelvic malignancy both as adjuvant or neoadjuvant. Common presentation of radiation proctitis is rectal bleeding. Other symptoms such as diarrhea, urgency, rectal pain, or passage of mucus can be found. Radiation proctitis can be classified into acute proctitis which occurs immediately after initiation of radiotherapy and chronic proctitis which symptoms occur after months or years after cessation of therapy.[1] Chronic radiation proctitis can have clinical manifestation such as bleeding, stricture, perforation, and bowel obstruction. The incidence of chronic radiation proctitis is estimated 2-20%.2

Results

Conclusion