Seton Hall University, School of Health and Medical Sciences - St. Michael's Medical Center, Department of Medicine, Division of Gastroenterology, 111 Central Avenue, Newark, NJ 07102, USA.
Therap Adv Gastroenterol. 2013 Jan;6(1):69-76. doi: 10.1177/1756283X12456895.
Radiation proctitis is a frequent complication of pelvic radiation for cancer. This condition can present acutely within several weeks of radiation, or chronically many months or years after radiation, leading to rectal bleeding and transfusion-dependent anemia. Various medical and endoscopic therapies have been described to treat this condition; however, some patients fail to respond to the current standard therapies. Here we present a case of refractory radiation proctitis, with suboptimal response to other therapies, treated successfully with a novel method, radiofrequency ablation.
放射性直肠炎是盆腔放射治疗癌症的常见并发症。这种情况可能在放射治疗后数周内急性发作，也可能在放射治疗后数月或数年后慢性发作，导致直肠出血和输血依赖型贫血。已经描述了各种医学和内镜治疗方法来治疗这种情况；然而，一些患者对当前的标准治疗方法没有反应。在这里，我们报告了一例难治性放射性直肠炎的病例，该病例对其他治疗方法反应不佳，成功地采用了一种新的方法，即射频消融术。
