Arianna Massella, Francesco Tomba, Thomas Togliani, Angelo Cerofolini, Luca Rodella
Radiation proctitis (RP) is characterised by rectal inflammation and damage after exposure to radiation therapy. Based on the onset of signs and symptoms, RP can be classified as acute or chronic, each with different levels of severity. Acute RP is generally self-limiting, while chronic RP usually causes persistent rectal bleeding with iron deficiency anemia requiring blood transfusions. Most of the data on available treatments for chronic RP derive from case reports or small studies. Despite this limitation, endoscopic therapies, such as argon plasma coagulation, radiofrequency ablation, bipolar electrocoagulation and heater probe, are effective and safe treatments for the management
of these patients.
Massella A, Tomba F, Togliani T, et al. Il trattamento endoscopico della proctite attinica: stato dell’arte. GIED. 2023 Mar;vol.1:40-45