A Case of Radiation Hemorrhagic Gastritis Treated by Endoscopic Argon Plasma Coagulation

英和, 倉持; 和彦, 林; 博子, 井手; 真一, 中村; 雄志, 井上; 茂, 鈴木; 健, 高崎

doi:10.11641/pdensks.55.2_38

Cited by 2 publications

(1 citation statement)

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“…Morrow et al reported the usefulness of APC to treat hemorrhage from radiation gastritis limited the region of the cardia, where the procedure was technically difficult because of the required session from a retroflexed position 22 . In the other report, after the failure of hemostasis by conventional monopolar electrocoagulation, APC was effectively used for the treatment of hemorrhage from a wide, radiation‐induced vascular lesion in the gastric roll 23 . Both cases did not show any complications as perforation and stricture.…”

Section: Discussionmentioning

confidence: 99%

Argon plasma coagulation for treatment of hemorrhagic radiation gastroduodenitis

Maekawa

Aoyama

Shirasaka

et al. 2002

Digestive Endoscopy

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A 79‐year‐old man who had received radiotherapy for portal vein thrombosis due to hepatocellular carcinoma (HCC) 5 months earlier, showed progressive anemia and melena. Endoscopy on admission revealed diffuse bleeding from multiple telangiectasias on the anterior wall of the antrum and bulbus. We treated this patient with a new non‐contact hemostatic method: the argon plasma coagulator (APC). The melena stopped after the first session and the hemoglobin level remained stable for 7 months. No delayed complications have been observed. Gastrointestinal bleeding from chronic radiation gastroduodenitis is rarely reported compared with radiation proctitis. This case demonstrates that APC is effective for hemostasis of diffuse bleeding from radiation gastroduodenitis, just as for radiation proctitis.

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Section: Discussionmentioning

confidence: 99%