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Local formalin instillation: an effective treatment for uncontrolled radiation-induced hemorrhagic proctitis
R Ouwendijk1, G W M Tetteroo, W Bode
1Department of General Surgery, IJsselland Hospital, Capelle a/d IJssel, The Netherlands.
Aim:
The aim of this study was to evaluate the efficacy of local instillation of 4% formalin in the management of uncontrolled radiation-induced and ischemic hemorrhagic proctitis.
Patients And Methods:
Eight patients were reviewed. Operation characteristics, morbidity and long-term results were analyzed.
Results:
All patients were followed for a median of 18 months. In 5 patients the bleeding stopped after a single treatment and in 3 after a second one. During follow-up no recurrent rectal bleeding occurred, no further medical treatment was needed and in all patients the complaints had disappeared.
Conclusion:
Local instillation of 4% formalin is an effective treatment for uncontrolled radiation-induced and ischemic hemorrhagic proctitis.
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