Endoscopic Therapy of Bleeding from Radiation Enteritis with Hypertonic Glucose Spray
نویسندگان
چکیده
Non-variceal and non-ulcerative bleeding in the gastrointestinal (GI) tract, such as radiation enteritis with active and extensive oozing, is common, and management of these conditions can be challenging. We describe the first case in the literature to use hypertonic glucose spray in radiation enteritis-associated diffuse mucosal bleeding.
منابع مشابه
Endoscopic Treatment of Bleeding Diversion Pouchitis with High-Concentration Dextrose Spray
Surgical closure of stoma with the reestablishment of gut continuity is the only curative intervention available for inflammatory bowel disease patients with diversion pouchitis, proctitis, or colitis. For patients who are not candidates for surgical reestablishment of bowel continuity, the alternative nonsurgical approaches, such as topical therapy with mesalamine, corticosteroids, or short-ch...
متن کاملTreatment of gastrointestinal radiation injury with hyperbaric oxygen.
BACKGROUND Chronic radiation enteritis develops in 5-20% of patients following abdominal and pelvic radiation. Current treatments are largely ineffective. OBJECTIVE To assess the effectiveness of hyperbaric oxygen therapy (HBO2) as a treatment for chronic radiation enteritis and evaluate the relative effectiveness in treatment of the proximal and distal gastrointestinal tract. DESIGN Case s...
متن کاملATTEMPTED SUICIDE BY INSULIN INJECTI ON TREATED WITH HYPERTONIC GLUCOSE SOLUTION
A young woman with no history of diabetes tried to commit suicide by injecting 2800 units of subcutaneous NPH insulin. She was transferred to Loghman Hospital within 12 hours. The main clinical symptom was continuous seizure activity which was resistant to all forms of routine drug therapy. The patient was treated with intravenous hypertonic glucose (50%) followed by continuous glucose (10...
متن کاملThree Cases with Active Bleeding from Radiation Enteritis That Were Diagnosed with Video Capsule Endoscopy without Retention
Endoscopic exploration of the small bowel after pelvic radiation has limitations related to strong abdominal adhesion. It is often difficult to demonstrate the findings of radiation enteritis endoscopically, even with video capsule endoscopy (VCE) or double-balloon enteroscopy (DBE). We present our experience with three cases of radiation enteritis that were diagnosed using VCE and DBE, includi...
متن کاملObscure gastrointestinal bleeding: a complication of radiation enteritis diagnosed by wireless capsule endoscopy.
Obscure gastrointestinal bleeding is a common disorder and may account for as many as 5% of all gastrointestinal hemorrhages. It is often caused by lesions in the small intestine, which were very complicated to examine prior to the advent of wireless capsule endoscopy. Here we present the case of a 31-year-old woman with obscure gastrointestinal bleeding as a complication of radiation enteritis...
متن کامل