A case report of endoscopic therapy for radiation-induced hemorrhagic gastritis in patient with recurrent hepatocellular carcinoma.
Medicine (Baltimore)
; 97(51): e13535, 2018 Dec.
Article
em En
| MEDLINE
| ID: mdl-30572453
ABSTRACT
RATIONALE Radiation-induced hemorrhagic gastritis is an infrequent cause of upper gastrointestinal bleeding and difficult to manage. The current standard treatment has not been well established. PATIENT CONCERNS We described a 32-year-old male patient with hemorrhagic gastritis induced by external radiotherapy for hepatocellular carcinoma recurrence. DIAGNOSES The endoscopic examination showed a diffuse area of bleeding in the gastric antrum. INTERVENTIONS:
After failure of conventional hemostasis treatment, we successfully stopped the hemorrhage with repeated endoscopic argon plasma coagulation (APC) combined with low-dose polyglycerol sclerotherapy.OUTCOMES:
The patient was followed up for 6 months to date without recurrence. LESSONS Based on this case, we think that endoscopic APC combined with low-dose polidocanol sclerotherapy can be tried as a treatment for potentially life-threatening radiation-induced hemorrhagic gastritis.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Lesões por Radiação
/
Escleroterapia
/
Endoscopia do Sistema Digestório
/
Coagulação com Plasma de Argônio
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Gastrite
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Hemorragia Gastrointestinal
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article