Argon beam coagulation for treatment of symptomatic radiation-induced proctitis.

Abstract:

BACKGROUND:Radiation proctitis is a complication of radiotherapy for malignant pelvic disease. Argon beam coagulation is a new and rapidly evolving technology that permits a "no-touch" electrocoagulation of diseased tissue. METHODS:We analyzed retrospectively the records of 7 patients with prostatic and endometrial cancers treated with irrradiation (median radiation dose was 6840 cGy, range 2400 to 7200 cGy). The median time to onset of symptoms after the conclusion of radiotherapy was 20 months (range 16 to 48 months); symptoms consisted of rectal bleeding and tenesmus in all patients. The patients underwent argon beam coagulation after colonoscopic evaluation. The usual treatment interval was 3 weeks (range 1 to 3 weeks). RESULTS:A median of 2 treatment sessions (range 2 to 4) was necessary for complete symptom relief. All interventions were well tolerated without complications. During follow-up (median 24 months, range 18 to 24 months), there was no recurrence of symptoms (bleeding, tenesmus). CONCLUSIONS:Argon beam coagulation is a safe, well tolerated, and effective treatment option in symptomatic radiation proctitis.

journal_name

Gastrointest Endosc

authors

Fantin AC,Binek J,Suter WR,Meyenberger C

doi

10.1016/s0016-5107(99)70054-4

keywords:

subject

Has Abstract

pub_date

1999-04-01 00:00:00

pages

515-8

issue

4 Pt 1

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(99)70054-4

journal_volume

49

pub_type

杂志文章
  • Endoscopic intracorporeal laser lithotripsy of difficult common bile duct stones with a stone-recognition pulsed dye laser system.

    abstract:BACKGROUND:Endoscopic retrograde intracorporeal lithotripsy with a stone recognition laser system seems to be a promising alternative in patients with difficult bile duct stones. METHOD:Sixteen patients with bile duct stones not suitable for endoscopic standard procedures underwent intracorporeal laser lithotripsy dur...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(95)70042-0

    authors: Schreiber F,Gurakuqi GC,Trauner M

    更新日期:1995-11-01 00:00:00

  • EMR is superior to rectal suction biopsy for analysis of enteric ganglia in constipation and dysmotility.

    abstract:BACKGROUND AND AIMS:Patients with chronic constipation or motility disorders may be referred for rectal suction biopsy (RSB) to rule out Hirschsprung's disease (HD). RSB may not be successful beyond infancy because of the increased thickness of the rectal mucosa. EMR could improve the diagnostic yield for HD when compa...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2017.08.037

    authors: Barshop K,Willingham FF,Brugge WR,Zukerberg LR,Kuo B

    更新日期:2018-03-01 00:00:00

  • Acute GI bleeding in the setting of supratherapeutic international normalized ratio in patients taking warfarin: endoscopic diagnosis, clinical management, and outcomes.

    abstract:BACKGROUND:Acute GI bleeding is a life-threatening complication of warfarin therapy. Acute GI bleeding in patients with an international normalized ratio of 4.0 or greater (supratherapeutic) is often attributed to trivial mucosal lesions. The aim of the study was to determine the frequency of potentially significant le...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:

    authors: Rubin TA,Murdoch M,Nelson DB

    更新日期:2003-09-01 00:00:00

  • Large-caliber metal stents versus plastic stents for the management of pancreatic walled-off necrosis.

    abstract:BACKGROUND AND AIMS:Symptomatic pancreatic walled-off necrosis (WON) may be managed by endoscopic transmural drainage and endoscopic transmural necrosectomy, with stent placement at endoscopic drainage sites. The optimal stent choice is yet to be determined. We compared outcomes after endoscopic management of WON using...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2017.04.032

    authors: Abu Dayyeh BK,Mukewar S,Majumder S,Zaghlol R,Vargas Valls EJ,Bazerbachi F,Levy MJ,Baron TH,Gostout CJ,Petersen BT,Martin J,Gleeson FC,Pearson RK,Chari ST,Vege SS,Topazian MD

    更新日期:2018-01-01 00:00:00

  • Endosonography of gastroesophageal varices: evaluation and follow-up of 76 cases.

    abstract::Endosonography was performed in 76 patients who had endoscopically detected gastroesophageal varices or questionable submucosal lesions, or who were being evaluated for pancreatic carcinoma or pancreatitis. The result were compared with surgery or autopsy results. The patients were divided retrospectively into four gr...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(95)70071-4

    authors: Tio TL,Kimmings N,Rauws E,Jansen P,Tytgat G

    更新日期:1995-08-01 00:00:00

  • Laparoscopy for pre-operative staging and assessment of operability in gastric carcinoma.

    abstract::Laparoscopy was performed in 40 patients with gastric carcinoma, whose lesions were otherwise considered amenable to operation, in order to more accurately stage the disease and ascertain the prospect of resectability. Laparoscopy disclosed hitherto unrecognized distant metastases in 5 cases (12.5%) and locally advanc...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(91)70776-1

    authors: Kriplani AK,Kapur BM

    更新日期:1991-07-01 00:00:00

  • Air and fluid leak tests after NOTES procedures: a pilot study in a live porcine model (with videos).

    abstract:BACKGROUND:Transluminal access site closure remains a major challenge in natural orifice transluminal endoscopic surgery (NOTES). OBJECTIVE:Our purpose was to develop in vivo leak tests for evaluation of the integrity of transgastric access closure. SETTINGS:Survival experiments on 12 50-kg pigs. DESIGN AND INTERVEN...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2007.12.052

    authors: Dray X,Gabrielson KL,Buscaglia JM,Shin EJ,Giday SA,Surti VC,Assumpcao L,Marohn MR,Magno P,Pipitone LJ,Redding SK,Kalloo AN,Kantsevoy SV

    更新日期:2008-09-01 00:00:00

  • A biodegradable non-covered self-expandable stent to treat pancreatic duct strictures in chronic pancreatitis: a proof of principle.

    abstract:BACKGROUND AND AIMS:In chronic pancreatitis (CP), fibrotic pancreatic duct (PD) strictures pose a therapeutic challenge, because endoscopic dilatation requires multiple procedures with suboptimal results. Biodegradable self-expandable stents (BD-SESs) may serve as an alternative in this setting. METHODS:Patients with ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2017.08.018

    authors: Cahen DL,van der Merwe SW,Laleman W,Poley JW,Bruno MJ

    更新日期:2018-02-01 00:00:00

  • Success rate and complications of ERCP performed during hands-on training courses: a multicenter study in China.

    abstract:BACKGROUND:Hands-on endoscopy workshops are popular and valuable sources for the continuing medical education of endoscopists. Concerns, however, exist regarding clinical outcomes of procedures performed during hands-on training of ERCP. OBJECTIVE:We compared the success rates and complications between patients in the...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.gie.2008.05.029

    authors: Liao Z,Li ZS,Leung JW,Zou XP,He LP,Jia GF,Huang Q,Ji M,Huang LY,Chao WS

    更新日期:2009-02-01 00:00:00

  • Incidence and impact of scheduled endoscopic surveillance on recurrence after curative endoscopic resection for early gastric cancer.

    abstract:BACKGROUND AND AIMS:The aim of this study was to identify the incidence of recurrent lesions after endoscopic submucosal dissection (ESD) and to determine whether scheduled endoscopic surveillance might control their development and treatment. METHODS:We reviewed the clinical data of patients who underwent gastric ESD...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2016.03.1404

    authors: Hahn KY,Park JC,Kim EH,Shin S,Park CH,Chung H,Shin SK,Lee SK,Lee YC

    更新日期:2016-10-01 00:00:00

  • Evaluation of the clinical efficacy of colon capsule endoscopy in the detection of lesions of the colon: prospective, multicenter, open study.

    abstract:BACKGROUND:Colon capsule endoscopy (CCE) is a new procedure for colon imaging. Limited information is available regarding visualization of flat colon lesions and patient acceptability in Japan. OBJECTIVE:The aims of this study were to evaluate the sensitivity of CCE in detecting polyps and other lesions compared with ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.gie.2015.02.004

    authors: Saito Y,Saito S,Oka S,Kakugawa Y,Matsumoto M,Aihara H,Watari I,Aoyama T,Nouda S,Kuramoto T,Watanabe K,Ohmiya N,Higuchi K,Goto H,Arakawa T,Tanaka S,Tajiri H

    更新日期:2015-11-01 00:00:00

  • Intraductal US in assessing the effects of radiation therapy and prediction of patency of metallic stents in extrahepatic bile duct carcinoma.

    abstract:BACKGROUND:We assessed the local effects of radiation therapy using intraductal ultrasonography (US) to predict the subsequent patency of metallic stents in bile duct carcinoma. METHODS:Data from 16 patients with extrahepatic-suprapancreatic bile duct carcinoma were prospectively analyzed. Thin-caliber US probes (2.0 ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0016-5107(00)70439-1

    authors: Tamada K,Wada S,Ohashi A,Tomiyama T,Satoh Y,Miyata T,Ido K,Nakazawa M,Sugano K

    更新日期:2000-04-01 00:00:00

  • Gastroesophageal endoscopic signs of cirrhosis: independent diagnostic accuracy, interassociation, and relationship to etiology and hepatic dysfunction.

    abstract:BACKGROUND:The main objective of this prospective study was to evaluate the independent diagnostic accuracy of gastroesophageal endoscopic signs for cirrhosis. METHODS:Endoscopic signs were evaluated in vivo by one observer and on standardized videotape recordings by a consensus opinion of two endoscopists, with the s...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(98)70156-7

    authors: Oberti F,Burtin P,Maïga M,Valsesia E,Pilette C,Calès P

    更新日期:1998-08-01 00:00:00

  • ERCP features in 27 patients with autoimmune pancreatitis.

    abstract:BACKGROUND:Autoimmune pancreatitis has been proposed as a new clinical entity. However, the ERCP features of this entity have not been well described. METHODS:Clinical and radiographic features in 27 patients with a diagnosis of autoimmune pancreatitis were evaluated. RESULTS:All 27 patients were at first suspected t...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2002.122653

    authors: Horiuchi A,Kawa S,Hamano H,Hayama M,Ota H,Kiyosawa K

    更新日期:2002-04-01 00:00:00

  • Does intrabiliary pressure predict basal sphincter of Oddi pressure? A study in patients with and without gallbladders.

    abstract:BACKGROUND:The endoscopic measurement of sphincter of Oddi pressure is a technically difficult procedure requiring significant expertise. Intrabiliary pressure is technically easy to measure. Furthermore, since it is believed that the pathogenesis of pain in patients with sphincter of Oddi dysfunction is attributable t...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(96)70054-8

    authors: Kalloo AN,Tietjen TG,Pasricha PJ

    更新日期:1996-12-01 00:00:00

  • Graded dilation technique for EUS-guided drainage of peripancreatic fluid collections: an assessment of outcomes and complications and technical proficiency (with video).

    abstract:BACKGROUND:Although the utility and safety of EUS and EUS-guided FNA is well known, there is a need for more data on outcomes and complications of EUS-guided drainage procedures. OBJECTIVE:To evaluate the rates of technical success, treatment success, and complications of the graded dilation technique for performing E...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2008.03.1091

    authors: Varadarajulu S,Tamhane A,Blakely J

    更新日期:2008-10-01 00:00:00

  • Prolongation of the period between biopsy and EMR can influence the nonlifting sign in endoscopically resectable colorectal cancers.

    abstract:BACKGROUND:The nonlifting sign is widely used for evaluating the invasion depth of colorectal tumors, and it is commonly accepted that EMR is contraindicated for colorectal tumors with a nonlifting sign because of the probability of massive submucosal invasion. OBJECTIVE:To identify the clinicopathologic factors that ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2007.05.057

    authors: Han KS,Sohn DK,Choi DH,Hong CW,Chang HJ,Lim SB,Choi HS,Jeong SY,Park JG

    更新日期:2008-01-01 00:00:00

  • Colorectal surveillance interval assignment based on in vivo prediction of polyp histology: impact of endoscopic quality improvement program.

    abstract:BACKGROUND:Validated training methods are needed before in vivo optical diagnosis can be used to guide colorectal cancer surveillance interval assignments. OBJECTIVES:To assess the impact of endoscopist training on accuracy of surveillance intervals based on in vivo optical diagnosis. DESIGN:Prospective, randomized s...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.gie.2012.03.007

    authors: Coe SG,Thomas C,Crook J,Ussui V,Diehl N,Wallace MB

    更新日期:2012-07-01 00:00:00

  • Electroacupuncture-reduced sedative and analgesic requirements for diagnostic EUS: a prospective, randomized, double-blinded, sham-controlled study.

    abstract:BACKGROUND AND AIMS:The role of electroacupuncture (EA) in reducing sedative and analgesic requirements during EUS is uncertain. The aim of this study was to investigate the efficacy of EA in reducing procedure-related pain and discomfort during EUS. METHODS:This was a double-blinded randomized controlled study conduc...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.gie.2017.07.029

    authors: Teoh AYB,Chong CCN,Leung WW,Chan SKC,Tse YK,Ng EKW,Lai PBS,Wu JCY,Lau JYW

    更新日期:2018-02-01 00:00:00

  • EUS for the staging of gastric cancer: a meta-analysis.

    abstract:BACKGROUND:The role of EUS in the locoregional staging of gastric carcinoma is undefined. OBJECTIVE:We aimed to comprehensively review and quantitatively summarize the available evidence on the staging performance of EUS. DESIGN:We systematically searched the MEDLINE, Cochrane, CANCERLIT, and EMBASE databases for rel...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,meta分析

    doi:10.1016/j.gie.2011.01.030

    authors: Mocellin S,Marchet A,Nitti D

    更新日期:2011-06-01 00:00:00

  • Gastric endoscopic submucosal dissection assisted by a new traction method: the clip-band technique. A feasibility study in a porcine model (with video).

    abstract:BACKGROUND:Endoscopic submucosal dissection (ESD) is the standard of care for treating gastric intramucosal neoplasias in Japan. However, it is seldom performed in Western countries, mainly because it is technically very challenging. Several traction methods have been proposed to facilitate submucosal dissection, but t...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2011.07.037

    authors: Parra-Blanco A,Nicolas D,Arnau MR,Gimeno-Garcia AZ,Rodrigo L,Quintero E

    更新日期:2011-11-01 00:00:00

  • Endoscopic ultrasound staging criteria for esophageal cancer.

    abstract:BACKGROUND:Malignant esophageal masses can be staged with endoscopic ultrasound (EUS) using the TNM staging classification. Several criteria for differentiating between intraesophageal (T1-2) and extraesophageal (T3-4) masses have been described, but highly accurate staging remains difficult. METHODS:This is a blinded...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0016-5107(97)70238-4

    authors: Brugge WR,Lee MJ,Carey RW,Mathisen DJ

    更新日期:1997-02-01 00:00:00

  • Comparison of uncovered stent with covered stent for treatment of malignant colorectal obstruction.

    abstract:BACKGROUND:Insertion of self-expandable metallic stents (SEMS) can provide rapid relief of malignant colorectal obstruction and can be used as a palliative treatment or as a bridge to surgery. A SEMS can be classified as an uncovered or covered stent. Both types of stents have their own merits and demerits. OBJECTIVE:...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.gie.2007.02.064

    authors: Lee KM,Shin SJ,Hwang JC,Cheong JY,Yoo BM,Lee KJ,Hahm KB,Kim JH,Cho SW

    更新日期:2007-11-01 00:00:00

  • Adenoma recurrence after piecemeal colonic EMR is predictable: the Sydney EMR recurrence tool.

    abstract:BACKGROUND AND AIMS:EMR is the primary treatment of large laterally spreading lesions (LSLs) in the colon. Residual or recurrent adenoma (RRA) is a major limitation. We aimed to identify a robust method to stratify the risk of RRA. METHODS:Prospective multicenter data on consecutive LSLs ≥20 mm removed by piecemeal EM...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2016.11.027

    authors: Tate DJ,Desomer L,Klein A,Brown G,Hourigan LF,Lee EY,Moss A,Ormonde D,Raftopoulos S,Singh R,Williams SJ,Zanati S,Byth K,Bourke MJ

    更新日期:2017-03-01 00:00:00

  • On-demand endoscopic CO2 insufflation with feedback pressure regulation during natural orifice transluminal endoscopic surgery (NOTES) peritoneoscopy induces minimal hemodynamic and respiratory changes.

    abstract:BACKGROUND:Endoscopic insufflation has been associated with marked increase in intra-abdominal pressure (IAP) and hemodynamic and respiratory changes during transgastric surgery. OBJECTIVE:To investigate the hemodynamic and respiratory effects during intraperitoneal cavity exploration through 3 different natural orifi...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2011.10.015

    authors: Navarro-Ripoll R,Martínez-Pallí G,Guarner-Argente C,Córdova H,Martínez-Zamora MA,Comas J,Rodríguez de Miguel C,Beltrán M,Rodríguez-D'Jesús A,Hernández-Cera C,Llach J,Balust J,Fernández-Esparrach G

    更新日期:2012-08-01 00:00:00

  • Quantitative assessment of psychomotor recovery after sedation and analgesia for outpatient EGD.

    abstract:BACKGROUND:Sedation and analgesia are routinely used to improve patient tolerance for GI endoscopy. Currently, assessment of postprocedure recovery uses cardiovascular and respiratory parameters but not psychomotor function. The two aims of this study were to determine degree of psychomotor recovery after conscious sed...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2002.129609

    authors: Willey J,Vargo JJ,Connor JT,Dumot JA,Conwell DL,Zuccaro G

    更新日期:2002-12-01 00:00:00

  • Brush cytology for pancreatic carcinoma: an analysis of factors influencing results.

    abstract:BACKGROUND:Despite recent advances in cytology brush design, yield of endoscopic brush cytology in suspected pancreatic carcinoma remains low. METHODS:We prospectively evaluated 32 such patients by ERCP to analyze differences in yield based on anatomic location of the pancreatic stricture, and the role of concurrent b...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(96)70168-2

    authors: McGuire DE,Venu RP,Brown RD,Etzkorn KP,Glaws WR,Abu-Hammour A

    更新日期:1996-09-01 00:00:00

  • Interobserver agreement for EUS findings in familial pancreatic-cancer kindreds.

    abstract:BACKGROUND:EUS is a promising modality for pancreatic-cancer screening in high-risk persons, including familial pancreatic-cancer (FPC) kindreds. OBJECTIVE:To assess interobserver agreement for interpretation of EUS in persons at high risk for pancreatic cancer. DESIGN:Seventeen expert endosonographers blinded to pat...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2006.09.018

    authors: Topazian M,Enders F,Kimmey M,Brand R,Chak A,Clain J,Cunningham J,Eloubeidi M,Gerdes H,Gress F,Jagannath S,Kantsevoy S,LeBlanc JK,Levy M,Lightdale C,Romagnuolo J,Saltzman JR,Savides T,Wiersema M,Woodward T,Petersen

    更新日期:2007-07-01 00:00:00

  • A standardized imaging protocol for the endoscopic prediction of dysplasia within sessile serrated polyps (with video).

    abstract:BACKGROUND AND AIMS:Dysplasia within sessile serrated polyps (SSPs) is difficult to detect and may be mistaken for an adenoma, risking incomplete resection of the background serrated tissue, and is strongly implicated in interval cancer after colonoscopy. The use of endoscopic imaging to detect dysplasia within SSPs ha...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2017.06.031

    authors: Tate DJ,Jayanna M,Awadie H,Desomer L,Lee R,Heitman SJ,Sidhu M,Goodrick K,Burgess NG,Mahajan H,McLeod D,Bourke MJ

    更新日期:2018-01-01 00:00:00

  • Endoscopic magnet placement into subadventitial tunnels for augmenting the lower esophageal sphincter using submucosal endoscopy: ex vivo and in vivo study in a porcine model (with video).

    abstract:BACKGROUND AND AIMS:Endolumenal therapies serve as a treatment option for GERD. This study aimed to determine if magnets could be placed endoscopically using the adventitial layer to create a subadventitial space near the esophagogastric junction to augment the lower esophageal sphincter using submucosal endoscopy. ME...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2018.09.015

    authors: Dobashi A,Wu SW,Deters JL,Miller CA,Knipschield MA,Cameron GP,Lu L,Rajan E,Gostout CJ

    更新日期:2019-02-01 00:00:00