Endoscopic therapy for radiation proctitis-induced hemorrhage in patients with prostatic carcinoma using Argon Plasma Coagulator application

Venkatesh, K. S.; Ramanujam, P. S.

doi:10.1007/s00464-001-8164-0

Cited by 40 publications

(20 citation statements)

References 14 publications

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“…In contrast, the use of endoclipping has been widely reported in gastrointestinal endoscopy, without complications [26,27] . Argon plasma coagulation (APC) is a safe, welltolerated treatment option in prostatic cancer patients with radiation-proctitis-induced hemorrhage, and historically, has been superior to Nd: YAG laser ablation [30] . Regarding the endoscopic treatment for initial hemostasis in upper and lower gastrointestinal bleeding, apart from the endoscopic hemostatic devices used, APC is an alternative hemostatic method [31,32] .…”

Section: Discussionmentioning

confidence: 99%

Endoclipping treatment of life-threatening rectal bleeding after prostate biopsy

Katsinelos¹,

Kountouras²,

Dimitriadis³

et al. 2009

WJG

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Rectal bleeding is frequently seen in patients undergoing transrectal ultrasound (TRUS)-guided multiple biopsy of the prostate, but is usually mild and stops spontaneously. We report what is believed to be the first case of life-threatening rectal bleeding following this procedure, which was successfully treated by endoscopic intervention through placement of three clips on the sites of bleeding. This case emphasizes endoscopic intervention associated with endoclipping as a safe and effective method to achieve hemostasis in massive rectal bleeding after prostate biopsy. Additionally, current data on the complications of the TRUS-guided multiple biopsy of the prostate and the options for treating fulminant rectal bleeding, a consequence of this procedure, are described.

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Section: Discussionmentioning

confidence: 99%

Endoclipping treatment of life-threatening rectal bleeding after prostate biopsy

Katsinelos¹,

Kountouras²,

Dimitriadis³

et al. 2009

WJG

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“…Other causes of gastrointestinal bleeding (such as peptic ulcers) must of course be considered in IBD patients as well. Argon-plasma coagulation and topical formalin application may be of potential use in IBD-related gastrointestinal bleeding (as they are in radiation proctitis), but have yet to be systematically evaluated [40,41]. Cost effectiveness Endoscopic treatment of gastrointestinal bleeding may prevent the need for angiographic or surgical therapy.…”

Section: Gastrointestinal Bleeding In Inflammatory Bowel Diseasementioning

confidence: 99%

Endoscopic therapy for inflammatory bowel disease

Goldstein

Rubin

2003

Curr Treat Options Gastro

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Endoscopic therapy can be employed and may be useful in inflammatory bowel disease patients with dysplastic polyps, inflammatory strictures (enteric and biliary), bleeding, and for treatment of some complications of continent ileostomies. Dysplastic polyps can be removed endoscopically safely and effectively without resorting to colectomy, as long as there is no other detectable dysplasia in flat mucosa and complete removal can be assured (by biopsy of adjacent mucosa and close follow-up). Some colonic strictures in Crohn's disease can be dilated using endoscopes of graded caliber or with through-the-scope balloons, with or without stent placement. Endoscopy is most useful in dilating anastomotic strictures and less useful for long strictures in active inflammatory disease. Strictures in ulcerative colitis are suspicious for neoplasia and, if dilated at all, should be biopsied extensively and followed closely. We prefer colectomy to endoscopic dilatation for strictures in ulcerative colitis. Biliary endoscopy can be used to dilate strictures in primary sclerosing cholangitis and to sample these areas for malignancy. Although dilatation may improve morbidity and prolong survival, it may not prevent progression to cirrhosis. In cholangiocarcinomas, endoscopic dilatation with or without stents can offer palliation and perhaps be used to deliver photodynamic therapy. Injection and sclerotherapy can be employed in Crohn's disease bleeding from a discrete site. In obstructed continent ileostomies (both Kock pouches and pelvic ileoanal reservoirs), endoscopy can be employed effectively to both determine the cause of the obstruction and re-establish patency. We do not advocate endoscopic treatment of toxic megacolon because of the heightened risk of perforation. Endoscopic therapy of Crohn's fistulas is a possible emerging technology, but it has not been used in large cohorts of patients.

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“…Depuis cette é poque, aucun essai contrô lé n'a é té publié . Cependant, les nombreuses é tudes ouvertes cumulant au moins 300 patients ont toutes rapporté des taux d'efficacité de plus de 80 % sur les saignements en moyenne en 1 à 3 sé ances (extrê mes de 1 à 8) (tableau I) [17][18][19][20][21][22][23][24][25][26][27][28][29]. Cette efficacité ainsi que les avantages sus-dé crits ont permis à l'é lectrocoagulation au plasma d'argon de devenir la technique endoscopique de ré fé rence dans le traitement des rectites radiques hé morragiques.…”

Section: é Lectrocoagulation Endoscopiqueunclassified

“…Cette efficacité ainsi que les avantages sus-dé crits ont permis à l'é lectrocoagulation au plasma d'argon de devenir la technique endoscopique de ré fé rence dans le traitement des rectites radiques hé morragiques. Cependant, des complications ont é té dé crites : fiè vre avec bacté rié mie, troubles urinaires, ulcé rations, hé morragies par chute d'escarre, sté noses rectales, microrecties, fistules rectovaginales, perforations et explosions intracoliques [17,18,[20][21][22][23][24][25][26][27][28][29]. Cette derniè re complication a é té attribué e à une accumulation endoluminale de gaz coliques (hydrogè ne et mé thane) dont V de Parades, P Bauer, P Marteau, L Chauveinc, T Bouillet, P Atienza l'explosion aurait é té favorisé e par une pré paration insuffisante par lavements de Normacol W .…”

Section: é Lectrocoagulation Endoscopiqueunclassified

Traitement non chirurgical des rectites radiques chroniques hémorragiques

et al. 2008

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Endoscopic therapy for radiation proctitis-induced hemorrhage in patients with prostatic carcinoma using Argon Plasma Coagulator application

Abstract: Argon plasma coagulation application is a safe, well-tolerated treatment option and, historically, has been superior to Nd:YAG laser ablation.

Cited by 40 publications

References 14 publications

Endoclipping treatment of life-threatening rectal bleeding after prostate biopsy

Endoclipping treatment of life-threatening rectal bleeding after prostate biopsy

Endoscopic therapy for inflammatory bowel disease

Traitement non chirurgical des rectites radiques chroniques hémorragiques

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