[abstract] RADIATION PROCTITIS TREATEMENT WITH HYPERBARIC OXYGEN

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[abstract] RADIATION PROCTITIS TREATEMENT WITH HYPERBARIC OXYGEN

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Title: [abstract] RADIATION PROCTITIS TREATEMENT WITH HYPERBARIC OXYGEN
Author: Jones, K; Evans, AW; Levin, W
Abstract: Introduction / Background: Therapeutic radiation for malignant cancers in the pelvic region can result radiation proctitis in 2-20 percent patients. About 70 percent are mild and undergo remission in 2 years. There is no definite treatment available. Current modalities of treatment are medical therapies, which include oral and rectal steroids, 5-amino salicylates, sucralfate, short chain fatty acid, metranidazole, vitamin E and C, endoscopic therapies and surgical intervention. Of late, hyperbaric Oxygen therapy has gained acceptance as an option for the treatment of radiation proctitis. The aim of this study is to review the characteristics of these patients, treatment details, side effects and outcome of treatment. Materials / Methods: 16 patients with radiation proctitis were referred to the radiation late effect clinic in Princess Margaret Hospital during the period 2000 to 2004. Ten patients were treated with hyperbaric oxygen. Patients were retrospectively graded based on the LENT-SOMA classification. Upon initial assessment of these ten patients, three were ranked as grade 3 and seven were ranked as grade 2. Results: Outcome was clinically assessed. HBOT was well tolerated. Bleeding was in CR in 4/9 pts, PR in 3/9 pts. Furthermore, a tool has been developed that will permit patients to self report their proctitis morbidity. This reporting is compatible with the recommended LENT-SOMA grading scale. Our experience with this tool will be discussed. Summary / Conclusion: Hyperbaric treatment is an efficient treatment modality for patients with radiation proctitis. Education of peers regarding this form of treatment as a useful option should be a priority issue for treating institutions.
Description: Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org )
URI: http://archive.rubicon-foundation.org/1497
Date: 2004

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  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

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