Case report demonstrates successful application of hybrid APC in managing rectal bleeding after pelvic chemoradiotherapy, suggesting reduced complications.
Chronic radiation-induced proctitis is a common complication of pelvic radiotherapy that frequently presents with rectal bleeding and mucosal friability. Argon plasma coagulation (APC) is considered the first-line treatment for this condition [1]; however, it is associated with complications, such as rectal pain, ulceration, and perforation [2] [3]. Hybrid APC (hAPC), which combines high-pressure submucosal fluid injection with thermal ablation [4], has shown promise in achieving hemostasis while minimizing the depth of thermal injury to the muscular layer ([Fig. 1]). Here, we report a case of chronic radiation-induced proctitis successfully treated with hAPC.
No takes yet. Share an insight, caveat, or question.
Hattori et al. (2025) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: