Jeffrey K Lee, Deepak Agrawal, Nirav Thosani, Mohammad Al-Haddad, James L Buxbaum, Audrey H Calderwood, Douglas S Fishman, Larissa L Fujii-Lau, Laith H Jamil, Terry L Jue, Mouen A Khashab, Joanna K Law, Mariam Naveed, Bashar J Qumseya, Mandeep S Sawhney, Andrew C Storm, Julie Yang, Sachin B Wani
Chronic radiation proctopathy is a common sequela of radiation therapy for malignancies in the pelvic region. A variety of medical and endoscopic therapies have been used for the management of bleeding from chronic radiation proctopathy. In this guideline, we reviewed the results of a systematic search of the literature from 1946 to 2017 to formulate clinical questions and recommendations on the role of endoscopy for bleeding from chronic radiation proctopathy. The following endoscopic modalities are discussed in our document: argon plasma coagulation, bipolar electrocoagulation, heater probe, radiofrequency ablation, and cryoablation...
August 2019: Gastrointestinal Endoscopy