The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
Vol 15, No 3 (2014): VOLUME 15, NUMBER 3, December 2014

Chronic Radiation Proctosigmoiditis in Patients with Cervical Cancer

Juliyanti - (Department of Internal Medicine, Faculty of Medicine University of Indonesia/Dr. Cipto MangunkusumoGeneral National Hospital, Jakarta)
Dadang Makmun (Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, University of Indonesia/Dr.Cipto Mangunkusumo General National Hospital, Jakarta)



Article Info

Publish Date
01 Dec 2014

Abstract

Complications in rectum and sigmoid due to radiation are usually called radiation proctosigmoiditis. It can be acute or chronic based on the onset of symptoms during radiation treatment. There are some treatment modalities aimed for reducing rectosigmoid bleeding and improving symptoms of chronic radiation proctosigmoiditis, which include medication, endoscopy and surgery. Most data about the effectiveness of those various modalities are provided by short-term studies with small sample size.A female patient, 59 years old, came with a chief complaint of passing persistent fresh bright red bloody stool since 1 year before admission. The patient was then diagnosed with stage IIIB cervical cancer and she received 25 times of external radiation, 3 times of internal radiation and 3 times of chemotherapy.  She was diagnosed with chronic radiation proctosigmoiditis and treatment to stop the bleeding was carried out by performing argon plasma coagulation through colonoscopy. The problems in the patient were formulated as chronic radiation proctosigmoiditis with malnutrition and iron deficiency anemia due to chronic bleeding. Non-pharmacological and pharmacological medications were administered.Keywords: radiation proctosigmoiditis, argon plasma coagulation, medication

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Journal Info

Abbrev

jghe

Publisher

Subject

Medicine & Pharmacology

Description

The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy is an academic journal which has been published since 2000 and owned by 3 Societies: The Indonesian Society of Gastroenterology; Indonesian Association for the Study of the Liver; The Indonesian Society for Digestive ...