| Chronic radiation-induced proctitis: the 4 % formalin application as non-surgical treatment. | |
| | |
MedLine Citation:
|
PMID: 22932907 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
PURPOSE: Radiation proctitis is a known complication following radiation therapy for pelvic malignancy. The majority of cases are treated nonsurgically. Rectal instillation of formalin solution has been described as a successful treatment for chronic radiation-induced hemorrhagic proctitis resistant to medical treatment. We present our results in patients undergoing treatment with application of 4 % formalin for radiation-induced injury to the rectum. METHODS: All patients were treated under anesthesia by direct application of 4 % formalin solution to the affected rectal areas. Patient gender, initial malignancy, grade of proctitis, need for blood transfusion, previous therapy, number of applications and response to treatment with formalin, complications, and length of follow-up were reviewed. RESULTS: A total of 15 patients with a mean age of 68.9 (range, 48-77) years were followed for 31.3 (range, 18-51) months. The mean interval from the conclusion of radiotherapy and the onset of symptoms was 6.9 months. The mean duration of hemorrhagic proctitis before formalin application was 7.9 months. Ten patients had only one formalin application and five patients required a second application because of the persistent bleeding. Thirteen patients (87 %) had complete cessation of bleeding. No complications related to the formalin treatment were observed. CONCLUSIONS: According to a revision of the literature and our experience, despite the small number of patients in our trial, we can state that the application of 4 % formalin solution is an effective, safe, and well-tolerated treatment for chronic radiation-induced hemorrhagic proctitis with minimal discomfort and no severe complications. |
| | |
Authors:
|
Daniele Pironi; Alessandra Panarese; Maurizio Vendettuoli; Stefano Pontone; Salvatore Candioli; Annarita Manigrasso; Flaminia De Cristofaro; Angelo Filippini |
Related Documents
:
|
18429857 - A randomised controlled trial comparing fresh, dried, and dried-then-rehydrated tempora... 22374227 - Tobacco use and substance use disorders as predictors of postoperative weight loss 2 y... 23505007 - Heart rate decrease during crizotinib treatment and potential correlation to clinical r... 23143557 - Bisphosphonates or prostacyclin in the treatment of bone-marrow oedema syndrome of the ... 6233887 - Return to work after coronary angioplasty: a report from the national heart, lung, and ... 12818447 - Efficacy of the combination of 2 g oral tinidazole and acidic buffering vaginal gel in ... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-8-30 |
Journal Detail:
|
Title: International journal of colorectal disease Volume: - ISSN: 1432-1262 ISO Abbreviation: Int J Colorectal Dis Publication Date: 2012 Aug |
Date Detail:
|
Created Date: 2012-8-30 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8607899 Medline TA: Int J Colorectal Dis Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Department of Surgical Sciences, "Sapienza" University of Rome, V.le Regina Elena n 324, 00161, Rome, Italy. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Transfer status is a risk factor for increased in-hospital mortality in patients with diverticular h...
Next Document: Factors predicting worse prognosis in patients affected by pT3 N0 colon cancer. Long-term results of...