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Comment on “The effect of hyperbaric oxygen therapy on rectal ulcers after Argon plasma coagulation”

2021-11Journal article Open access
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dc.contributor.authorCunha Neves, João A.
dc.contributor.authorRoseira, Joana
dc.contributor.authorQueirós, Patrícia
dc.contributor.authorTavares de Sousa, Helena
dc.date.accessioned2021-11-30T17:11:17Z
dc.date.available2021-11-30T17:11:17Z
dc.date.issued2021-11
dc.description.abstractDear Editor, We read with great interest the paper by Laranjo et al. [1] entitled “The Effect of Hyperbaric Oxygen Therapy on Rectal Ulcers after Argon Plasma Coagulation.” The authors reported the case of a patient with chronic radiation proctitis, who developed rectal ulcers after endoscopic treatment with argon plasma coagulation (APC) and was successfully treated with hyperbaric oxygen therapy (HBO). Although it is well established that HBO therapy is an effective alternative treatment for patients with radiation-induced rectal ulcers and severe chronic proctitis [2, 3], its application has not been described as a treatment option in APC-induced rectal ulcers. We acknowledge the authors’ awareness of HBO as an option for complications induced by conventional chronic proctitis treatments and we would like to share our experience on this particular matter. A 72-year-old female patient was admitted to our Emergency Department with rectal bleeding, acute anal pain, and iron deficiency anemia (hemoglobin 10.7 g/dL). She had a past medical history of endometrial carcinoma treated with radio- and brachytherapy 2 years before. Total colonoscopy revealed multiple bleeding rectal radiation-induced telangiectasias. Medical treatment with topical salicylates and sucralfate for 8 months was unsuccessful and APC therapy (45 W; 1.5 L/min gas flow) every 4 weeks was initiated. The patient was submitted to a total of 6 APC sessions, with an overall endoscopic improvement between the first and third sessions. However, amidst the fourth and sixth APC sessions, the patient developed multiple APC-induced ulcers and an ulcerated stenosis of the distal rectum.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1159/000520227pt_PT
dc.identifier.eissn2387-1954
dc.identifier.issn2341-4545
dc.identifier.urihttp://hdl.handle.net/10400.1/17357
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherKargerpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectArgon plasma coagulation therapypt_PT
dc.subjectHyperbaric oxygen therapypt_PT
dc.subjectChronic radiation proctitispt_PT
dc.subjectRadiation-induced rectal ulcerspt_PT
dc.subjectAlternative therapypt_PT
dc.titleComment on “The effect of hyperbaric oxygen therapy on rectal ulcers after Argon plasma coagulation”pt_PT
dc.title.alternativeComentário a “O papel da oxigenoterapia hiperbárica nas úlceras retais secundárias à terapêutica com árgon-plasma”pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage2pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleGE - Portuguese Journal of Gastroenterologypt_PT
person.familyNameRoseira
person.familyNameQueirós
person.givenNameJoana
person.givenNamePatrícia
person.identifier.orcid0000-0002-5098-8729
person.identifier.orcid0000-0003-3575-426X
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication077331f1-402e-455f-8e16-e475d62bc73a
relation.isAuthorOfPublication956d1326-eaa7-4251-a987-e010449a8c20
relation.isAuthorOfPublication.latestForDiscovery956d1326-eaa7-4251-a987-e010449a8c20

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