Utility of Endoscopic Full-Thickness Resection for Refractory Rectal Bleeding in Chronic Radiation Proctitis.

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY

ACG Case Reports Journal Pub Date : 2024-11-09 eCollection Date: 2024-11-01 DOI:10.14309/crj.0000000000001556

Benjamin I Richter, Yazan Abboud, Ben Flikshteyn, Kaveh Hajifathalian

引用次数: 0

Abstract

Severe rectal bleeding is a rare complication of chronic radiation proctitis (CRP). Given CRP's propensity to involve the full thickness of the rectal tissue, we proposed that endoscopic full-thickness resection may be a successful therapeutic modality for treating CRP. A 76-year-old man with multiple comorbid conditions who was not a surgical candidate presented with severe bleeding secondary to CRP that was refractory to all medical and therapeutic interventions. An endoscopic full-thickness resection was performed, which initially resulted in hemostasis, but the patient ultimately developed recurrent rectal bleeding, and endoscopic resection was determined to be unsuccessful.

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内窥镜全厚切除术治疗慢性放射性直肠炎难治性直肠出血的效用

严重的直肠出血是慢性放射性直肠炎（CRP）的一种罕见并发症。鉴于 CRP 易累及全层直肠组织，我们提出内窥镜全层切除术可能是治疗 CRP 的一种成功治疗方法。一名 76 岁的男性患有多种并发症，但不适合手术治疗，他因继发于 CRP 的严重出血而接受了所有的药物和治疗干预。患者接受了内镜下全层切除术，起初止血效果不错，但最终出现了复发性直肠出血，内镜下切除术被确定为不成功。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.