A case report of endoscopic therapy for radiation-induced hemorrhagic gastritis in patient with recurrent hepatocellular carcinoma.
| Autor: | Liang M; Department of Digestive Disease, The First People's Hospital of Changzhou, The Third Affiliated Hospital of Soochow University., Liwen Z; Department of Pediatrics, the Second People's Hospital of Changzhou, Affiliate Hospital of NanJing Medical University, Changzhou, Jiangsu, China., Juan D; Department of Digestive Disease, The First People's Hospital of Changzhou, The Third Affiliated Hospital of Soochow University., Yun Z; Department of Digestive Disease, The First People's Hospital of Changzhou, The Third Affiliated Hospital of Soochow University., Yanbo D; Department of Digestive Disease, The First People's Hospital of Changzhou, The Third Affiliated Hospital of Soochow University., Jianping C; Department of Digestive Disease, The First People's Hospital of Changzhou, The Third Affiliated Hospital of Soochow University. |
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| Jazyk: | angličtina |
| Zdroj: | Medicine [Medicine (Baltimore)] 2018 Dec; Vol. 97 (51), pp. e13535. |
| DOI: | 10.1097/MD.0000000000013535 |
| Abstrakt: | 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. |
| Databáze: | MEDLINE |
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