ARGON-LASER THERAPY FOR HEMORRHAGIC RADIATION PROCTITIS - LONG-TERM RESULTS

被引:80
作者
TAYLOR, JG
DISARIO, JA
BUCHI, KN
机构
[1] UNIV UTAH,MED CTR,SCH MED,DEPT INTERNAL MED,DIV GASTROENTEROL,ROOM 4R118,50 N MED DR,SALT LAKE CITY,UT 84132
[2] UNIV UTAH,SCH MED,UTAH LASER INST,SALT LAKE CITY,UT 84132
关键词
D O I
10.1016/S0016-5107(93)70215-1
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
In chronic radiation proctitis bleeding occurs from mucosal friability and neovascular telangiectasias. Fourteen patients with bleeding from chronic radiation proctitis underwent endoscopic argon laser therapy at 4 to 8 W. The goal of treatment was obliteration of all telangiectasias. The average follow-up was 35 months. Of the 51 procedures, 48 (94%) were performed on outpatients with enema preparation and little or no sedation. A median of three procedures was performed per patient, with two sessions required for initial control of bleeding. Ten patients (71%) required maintenance therapy for recurrent bleeding from telangiectasias that developed after initial therapy. The mean interval between maintenance sessions was 7 months. No immediate or late complications occurred.
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页码:641 / 644
页数:4
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