Radyasyon proktitinde argon plazma koagulasyon tedavisinin etkinliği

Akif Altınbas; Bora Aktaş; Fuat Ekiz; Barış Yılmaz; Murat Deveci; Zahide Şimşek; Şahin Çoban; Ömer Başar; Osman Yüksel

EN TR

Radyasyon proktitinde argon plazma koagulasyon tedavisinin etkinliği

Öz

Özet

Proktit, pelvik bölge kanserlerinde uygulanan radyasyon tedavisinin uzun dönem komplikasyonu olarak görülebilir. Radyasyon proktitinin kesin tedavisi konusunda halen bir kafa karışıklığı vardır. Argon plazma koagulasyon (APC) tedavisi en kabul gören tedavi yöntemidir. Kliniğimizde iki yıllık takip sürecinde radyasyon proktiti tanısı ile iki hasta APC yöntemi ile tedavi edilmiştir. İki hastanın da altta yatan hastalığı prostat kanseri idi ve radyasyon tedavisinin 12 ve 8. aylarında proktit tablosu ortaya çıkmıştı. APC tedavisi 15’er günlük intervaller halinde uygulandı. Her iki hasta da izlemlerinin beşinci ve altıncı aylarında APC tedavisiyle kür sağlandı. Sonuç olarak, APC tedavi protokolü, radyasyon proktitinde etkin ve güvenilir bir tedavi metodu olarak uygulanabilir.

Anahtar sözcükler: Radyasyon proktiti, rektal kanama, argon plazma koagulasyon tedavisi

Abstract

Proctitis may be a long term complication of radiation therapy for pelvic malignancies. The exact treatment of radiation proctitis is controversial. Argon plasma coagulation (APC) is the most acceptable therapy of radiation proctitis. In our clinic, two patients were included into the APC therapy protocol in the last two years of follow-up. The underlying diseases of the patients diagnosed with radiation proctitis were prostate cancer and the radiation proctitis were seen 12 and 8 months after cessation of radiation therapy. The APC therapy was perfomed at 15 days intervals. Both of the patients were free of symptoms at the end of the fifth and sixth months of follow up period. In conclusion, APC treatment seems to be effective and safe in radiation proctitis.

Keywords: Radiation proctitis, rectal bleeding, argon plasma coagulation therapy

Anahtar Kelimeler

Radyasyon proktiti, rektal kanama, argon plazma koagulasyon tedavisi

References

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Details

Primary Language

Turkish

Subjects

-

Journal Section

-

Authors

Akif Altınbas

Bora Aktaş

Fuat Ekiz

Barış Yılmaz

Murat Deveci

Zahide Şimşek

Şahin Çoban

Ömer Başar

Osman Yüksel

Publication Date

September 27, 2013

Submission Date

July 31, 2012

Acceptance Date

-

Published in Issue

Year 2013 Volume: 35 Number: 3

IZ

https://izlik.org/JA72PH35ES

Cite

RIS / Bibtex

AMA

1.Altınbas A, Aktaş B, Ekiz F, et al. Radyasyon proktitinde argon plazma koagulasyon tedavisinin etkinliği. CMJ. 2013;35(3):414-418. https://izlik.org/JA72PH35ES