Summary
We report a case of a male patient suffering from a severe hemorrhagic radiation proctitis which gradually ceased with hyperbaric oxygen. We discuss the mechanisms of chronic radiation injury and the effect of the hyperbaric oxygen. This therapy is proposed as an alternative to surgical intervention for this abnormality.
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References
Editorial: Radiation induced proctosigmoiditis. Lancet 1:1082–1083, 1983
Kinsella TJ, Bloomer WD: Tolerance of the intestine to radiation therapy. Surg Gynecol Obstet 151:273–284, 1980
Cunningham IGE: The management of radiation proctitis. Aust NZ J Surg 50:172–178, 1980
Gilinskyu NH, Bums DG, Barbezat GO, et al: The natural history of radiation induced proctosigmoiditis: An analysis of 88 patients. QF Med 205:40–53, 1983
Stockbone MF, Hancock JE, Eletcher GH: Complications in 831 patients with squamous cell carcinomas of the cervix treated with 3000 rads or more whole pelvis radiation. Am J Roentgen Radium Ther Nucl Med 108:293–298, 1970
Anseline PF, Lavery JC, Fazio WW, et al: Radiation injury of the rectum. Ann Surg 194:716–724, 1981
Browing GGP, Varma JS, Smith AN, et al: Late results of mucosal protectomy and colo-anal sleeve anastomosis for chronic irradiation rectal injury. Br J Surg 74:31–34, 1987
Allen-Mersh TG, Wilson EJ, Hope-Stone MF, et al: The management of late radiation-induced rectal injury after treatment of carcinoma of the uterus. Surg Gynecol Obstet 164:521–524, 1987
Dictel M, Vasic V: Major intestinal complications of radiotherapy. Am J Gastroenterol 72:65–70, 1979
Russel JC, Welch JP: Operative management of radiation injurie of the intestinal tract. Am J Surg 137:433–442, 1979
Localio SA, Pachter HL, Gorge TH: The radiation injured bowel. Surg Ann 11:181–205, 1979
Galland RB, Spencer J: Surgical aspects of radiation injury to the intestine. Br J Surg 66:135–138, 1979
Swan RW, Fowler WC, Boronow RC: Surgical management of radiation injury to the small intestine. Surg Gynecol Obstet 142:325–327, 1976
Schmitt EH, Symmonds RC: Surgical treatment of radiation induced injuries of the intestine. Surg Gynecol Obstet 153:896–900, 1981
Cooke SAR, De Moor NG: The surgical treatment of the radiation damaged rectum. Br J Surg 68:488–492, 1981
Warma JS, Smith AN: Anorectal function following colorectal sleeve anastomosis for chronic radiation injury to the rectum. Br J Surg 73:285–289, 1986
Buchi KN, Dixon JA: Argon laser treatment of hemorrhagic radiation proctitis. Gastrointest Endosc 33:27–29, 1987
Leuchter RS, Petrilli ES, Dwger RW, et al: Nd: YAG laser therapy of rectosigmoïd bleeding due radiation injury. Obstet Gynecol 59:655–675, 1982
Novack JM, Collins JT, Donowitz M, et al: Effects of radiation on the human gastrointestinal tract. J Clin Gastroenterol 1:9–39, 1979
Warren S, Friedman NB: Pathology and pathologic diagnosis of radiation lesions in the gastrointestinal tract. Am J Pathol 18:499–513, 1942
Schoenrock GJ, Cianci P: Treatment of radiation cystitis with hyperbaric oxygen. Urology 3:271–272, 1986
Bakker DJ, Rijkmans BG: Hyperbaric oxygen in the treatment of radiation-induced hemorrhagic cystitis: A report on 8 cases. Undersea Biomed Res 15:15, 1988 (suppl)
Hart GCB, Mainous EG: The treatment of radiation necrosis with hyperbaric oxygen. Cancer 36:2580–2585, 1976
Greenwood TW, Gilchrist AC: Hyperbaric oxygen and would healing in post irradiation head and neck surgery. Br J Surg 60:394–397, 1973
Hunt TK, Poi MK: The effect of varying ambient oxygen tensions in wound metabolism and collagen synthesis. Surg Gynecol Obstet 135:561–567, 1972
Mathieu D, Coget J, Vinchkier L, et al: Red blood cell deformity and hyperbaric oxygenation.In Proceedings of the 8th International Congress on Hyperbaric Medicine. Long Beach Memorial Hospital, Long Beach, California, 1984, pp 27–28
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Charneau, J., Bouachour, G., Person, B. et al. Severe hemorrhagic radiation proctitis advancing to gradual cessation with hyperbaric oxygen. Digest Dis Sci 36, 373–375 (1991). https://doi.org/10.1007/BF01318212
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DOI: https://doi.org/10.1007/BF01318212