Endoscopic and non-endoscopic approaches for the management of radiation-induced rectal bleeding

doi:10.3748/wjg.v22.i31.6972

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World Journal of Gastroenterology

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1007-9327

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World J Gastroenterol. Aug 21, 2016; 22(31): 6972-6986
Published online Aug 21, 2016. doi: 10.3748/wjg.v22.i31.6972

Table 4 Endoscopic therapy for radiation proctitis

	Proposed mechanism	Indications
Dilatation	Mechanical	Single institution studies support treatment of stricture, no RCT to date
Bipolar cautery and heater probe	Thermoelectric cauterization	RTC supports treatment of chronic proctitis
Nd:YAG, KTP laser	Coherent wavelength of electromagnetic radiation	Single institution studies support treatment of chronic proctitis, no RCT to date
Radiofrequency ablation	Rapidly alternating radiofrequency waves	Single institution studies support treatment of chronic proctitis, no RCT to date
Argon plasma coagulation	Noncontact electrocoagulation	RTC supports treatment of chronic proctitis, largest amount of data

Nd:YAG: Neodymium/yttrium aluminum garnet argon; KTP: Potassium titanyl phosphate; RCT: Randomized controlled trial.

Citation: Weiner JP, Wong AT, Schwartz D, Martinez M, Aytaman A, Schreiber D. Endoscopic and non-endoscopic approaches for the management of radiation-induced rectal bleeding. World J Gastroenterol 2016; 22(31): 6972-6986
URL: https://www.wjgnet.com/1007-9327/full/v22/i31/6972.htm
DOI: https://dx.doi.org/10.3748/wjg.v22.i31.6972