Copyright
©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Feb 27, 2016; 8(2): 151-160
Published online Feb 27, 2016. doi: 10.4240/wjgs.v8.i2.151
Published online Feb 27, 2016. doi: 10.4240/wjgs.v8.i2.151
Chronic radiation proctopathy: A practical review of endoscopic treatment
Luciano Lenz, Rachel Rohr, Frank Nakao, Ermelindo Libera, Fleury Medicina e Saúde, Centro de Medicina Diagnóstica, São Paulo 04513-100, Brazil
Luciano Lenz, Rachel Rohr, Frank Nakao, Ermelindo Libera, Angelo Ferrari, Endoscopy Unity, Universidade Federal de São Paulo, São Paulo 04513-100, Brazil
Angelo Ferrari, Endoscopy Unit, Hospital Israelita Albert Einstein, São Paulo 04513-100, Brazil
Author contributions: All of the authors contributed to this manuscript.
Conflict-of-interest statement: None.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Luciano Lenz, MD, PhD, Fleury Medicina e Saúde, Centro de Medicina Diagnóstica, Hélio Pellegrino Avenue, 720, Apto 152A, São Paulo 04513-100, Brazil. luciano.lenz@terra.com.br
Telephone: +55-11-32946424 Fax: +55-11-32946424
Received: June 28, 2015
Peer-review started: July 11, 2015
First decision: August 16, 2015
Revised: November 20, 2015
Accepted: December 13, 2015
Article in press: December 14, 2015
Published online: February 27, 2016
Processing time: 244 Days and 15.8 Hours
Peer-review started: July 11, 2015
First decision: August 16, 2015
Revised: November 20, 2015
Accepted: December 13, 2015
Article in press: December 14, 2015
Published online: February 27, 2016
Processing time: 244 Days and 15.8 Hours
Core Tip
Core tip: The objective of this review is to critically analyze the available data and our experience with this disease, with suggestions for daily practice and further research. In our view, laser treatment is an obsolete technology and can be abandoned. The bipolar probe (BiCAP) is very well indicated for patients with implantable electronic devices. The best way to use formalin is still unknown. More studies with band ligation, cryotherapy and radiofrequency ablation are still needed. Argon plasma coagulation has emerged as the front-runner, due to its ease of use, affordability, better-defined settings, effectiveness and low risk of complications.