COMPARISON OF ARGON PLASMA COAGULATION AND FORMALIN INSTILLATION IN THE TREATMENT OF RADIATION INDUCED HAEMORRHAGIC PROCTOCOLITIS
Background: Radiotherapy is routinely used in the treatment of pelvic malignancies and about 2–5% of these patients develop radiation-induced proctitis or proctocolitis. This complication of radiotherapy is treated in different ways. Two of these treatments, argon plasma coagulation (APC) and formal...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Shaukat Khanum Memorial Trust
2015-04-01
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| Series: | Journal of Cancer and Allied Specialties |
| Online Access: | http://journals.sfu.ca/jcas/index.php/jcas/article/view/11 |
| _version_ | 1819000653501956096 |
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| author | Muhammad Adnan Masood Hala Mansoor Muhammad Qayyum Khan |
| author_facet | Muhammad Adnan Masood Hala Mansoor Muhammad Qayyum Khan |
| author_sort | Muhammad Adnan Masood |
| collection | DOAJ |
| description | Background: Radiotherapy is routinely used in the treatment of pelvic malignancies and about 2–5% of these patients develop radiation-induced proctitis or proctocolitis. This complication of radiotherapy is treated in different ways. Two of these treatments, argon plasma coagulation (APC) and formalin instillation, have both been reported as to be successful modalities, but data comparing them are scarce. We conducted this study to compare these two treatment options.
Methods: We reviewed the charts of patients who had radiation-induced proctocolitis and who were treated endoscopically at our tertiary care cancer centre with either APC or formalin instillation. Outcomes of the two treatments were compared in terms of bleeding control after the first session of treatment, the number of sessions required and the nal response to therapy.
Results: Out of a total of 26 patients presenting with haemorrhagic radiation proctocolitis, 11 were treated with APC and 15 with formalin instillation. Success after the rst session was 53% in the formalin instillation group compared to 18% in the APC-treated group. On repeated sessions, the final response to both treatment modalities was comparable.
Conclusion: Efficacy of APC and formalin instillation in the treatment of haemorrhagic radiation proctocolitis is comparable although formalin showed a better outcome after the first session.
Key words: Argon plasma coagulation, formalin instillation, proctitis, radiation-induced colitis |
| first_indexed | 2024-12-20T22:36:44Z |
| format | Article |
| id | doaj.art-1fd01c2261fd4b58aa62dfc13ef81ca4 |
| institution | Directory Open Access Journal |
| issn | 2411-989X |
| language | English |
| last_indexed | 2024-12-20T22:36:44Z |
| publishDate | 2015-04-01 |
| publisher | Shaukat Khanum Memorial Trust |
| record_format | Article |
| series | Journal of Cancer and Allied Specialties |
| spelling | doaj.art-1fd01c2261fd4b58aa62dfc13ef81ca42022-12-21T19:24:35ZengShaukat Khanum Memorial TrustJournal of Cancer and Allied Specialties2411-989X2015-04-011110.37029/jcas.v1i1.11COMPARISON OF ARGON PLASMA COAGULATION AND FORMALIN INSTILLATION IN THE TREATMENT OF RADIATION INDUCED HAEMORRHAGIC PROCTOCOLITISMuhammad Adnan Masood0Hala Mansoor1Muhammad Qayyum Khan2Department of Internal Medicine, Shaukat Khanum Memorial Cancer Hospital and Research Center, Johar Town, LahoreDepartment of Internal Medicine, Shaukat Khanum Memorial Cancer Hospital and Research Center, Johar Town, LahoreDepartment of Internal Medicine, Shaukat Khanum Memorial Cancer Hospital and Research Center, Johar Town, LahoreBackground: Radiotherapy is routinely used in the treatment of pelvic malignancies and about 2–5% of these patients develop radiation-induced proctitis or proctocolitis. This complication of radiotherapy is treated in different ways. Two of these treatments, argon plasma coagulation (APC) and formalin instillation, have both been reported as to be successful modalities, but data comparing them are scarce. We conducted this study to compare these two treatment options. Methods: We reviewed the charts of patients who had radiation-induced proctocolitis and who were treated endoscopically at our tertiary care cancer centre with either APC or formalin instillation. Outcomes of the two treatments were compared in terms of bleeding control after the first session of treatment, the number of sessions required and the nal response to therapy. Results: Out of a total of 26 patients presenting with haemorrhagic radiation proctocolitis, 11 were treated with APC and 15 with formalin instillation. Success after the rst session was 53% in the formalin instillation group compared to 18% in the APC-treated group. On repeated sessions, the final response to both treatment modalities was comparable. Conclusion: Efficacy of APC and formalin instillation in the treatment of haemorrhagic radiation proctocolitis is comparable although formalin showed a better outcome after the first session. Key words: Argon plasma coagulation, formalin instillation, proctitis, radiation-induced colitishttp://journals.sfu.ca/jcas/index.php/jcas/article/view/11 |
| spellingShingle | Muhammad Adnan Masood Hala Mansoor Muhammad Qayyum Khan COMPARISON OF ARGON PLASMA COAGULATION AND FORMALIN INSTILLATION IN THE TREATMENT OF RADIATION INDUCED HAEMORRHAGIC PROCTOCOLITIS Journal of Cancer and Allied Specialties |
| title | COMPARISON OF ARGON PLASMA COAGULATION AND FORMALIN INSTILLATION IN THE TREATMENT OF RADIATION INDUCED HAEMORRHAGIC PROCTOCOLITIS |
| title_full | COMPARISON OF ARGON PLASMA COAGULATION AND FORMALIN INSTILLATION IN THE TREATMENT OF RADIATION INDUCED HAEMORRHAGIC PROCTOCOLITIS |
| title_fullStr | COMPARISON OF ARGON PLASMA COAGULATION AND FORMALIN INSTILLATION IN THE TREATMENT OF RADIATION INDUCED HAEMORRHAGIC PROCTOCOLITIS |
| title_full_unstemmed | COMPARISON OF ARGON PLASMA COAGULATION AND FORMALIN INSTILLATION IN THE TREATMENT OF RADIATION INDUCED HAEMORRHAGIC PROCTOCOLITIS |
| title_short | COMPARISON OF ARGON PLASMA COAGULATION AND FORMALIN INSTILLATION IN THE TREATMENT OF RADIATION INDUCED HAEMORRHAGIC PROCTOCOLITIS |
| title_sort | comparison of argon plasma coagulation and formalin instillation in the treatment of radiation induced haemorrhagic proctocolitis |
| url | http://journals.sfu.ca/jcas/index.php/jcas/article/view/11 |
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