Surgery and OncologySurgery and OncologyХирургия и онкология2949-5857Publishing House ABV Press48610.17650/2686-9594-2020-10-3-4-65-72LITERATURE REVIEWОБЗОР ЛИТЕРАТУРЫEndoscopic treatment for chronic radiation proctitisЭндоскопические методы лечения хронического лучевого проктитаhttps://orcid.org/0000-0002-1265-8382GrishinaE. A.ГришинаЕ. А.
Russian Federation

86 Shosse Enthuziastov, Moscow 111123

111123 Москва, шоссе Энтузиастов, 86

e.grishina@mknc.ruhttps://orcid.org/0000-0003-0010-5294ShishinK. V.ШишинК. В.
Russian Federation

86 Shosse Enthuziastov, Moscow 111123

111123 Москва, шоссе Энтузиастов, 86

https://orcid.org/0000-0003-2647-4362NedoluzhkoI. Yu.НедолужкоИ. Ю.
Russian Federation

86 Shosse Enthuziastov, Moscow 111123

111123 Москва, шоссе Энтузиастов, 86

https://orcid.org/0000-0002-5281-1871KurushkinaN. A.КурушкинаН. А.
Russian Federation

86 Shosse Enthuziastov, Moscow 111123

111123 Москва, шоссе Энтузиастов, 86

https://orcid.org/0000-0001-8777-2713ShumkinaL. V.ШумкинаЛ. В.
Russian Federation

86 Shosse Enthuziastov, Moscow 111123

111123 Москва, шоссе Энтузиастов, 86

https://orcid.org/0000-0003-3363-6841LeontyevА. V.ЛеонтьевА. В.
Russian Federation

86 Shosse Enthuziastov, Moscow 111123

111123 Москва, шоссе Энтузиастов, 86

A. S. Loginov Moscow Clinical Scientific Center of the Moscow Healthcare DepartmentГБУЗ г. Москвы «Московский клинический научно-практический центр им. А. С. Логинова Департамента здравоохранения г. Москвы»30122020103-465723012202030122020Copyright ©; 2020, Grishina E.A., Shishin K.V., Nedoluzhko I.Y., Kurushkina N.A., Shumkina L.V., Leontyev А.V.Copyright ©; 2020, Гришина Е.А., Шишин К.В., Недолужко И.Ю., Курушкина Н.А., Шумкина Л.В., Леонтьев А.В.2020Grishina E.A., Shishin K.V., Nedoluzhko I.Y., Kurushkina N.A., Shumkina L.V., Leontyev А.V.Гришина Е.А., Шишин К.В., Недолужко И.Ю., Курушкина Н.А., Шумкина Л.В., Леонтьев А.В.https://creativecommons.org/licenses/by/4.0https://onco-surgery.info/jour/article/view/486

The preferred method in detection and staging of chronic radiation proctitis is colonoscopy. Moreover, endoscopy is used widely in treating patients with this disease. The main goal of endoscopic techniques is hemostasis and elimination of vascular transformations. This includes formalin application, band ligation, various types of laser irradiation, bipolar coagulation and cryotherapy. However, these methods are associated with relatively high risk of complications, whereas argon plasma coagulation and radiofrequency ablation are effective, relatively safe techniques for chronic radiation proctitis and well tolerated by patients.

Эндоскопические технологии являются не только приоритетным методом диагностики и стадирования, но и основным методом эффективного лечения хронического лучевого проктита. Среди эндоскопических методов лечения могут применяться аппликации формалина, а также остановка кровотечения и устранение сосудистых трансформаций при помощи лигирующих устройств, различных видов лазерного облучения, биполярной коагуляции и криовоздействия, однако при применении этих методов описана большая частота осложнений, в то время как аргоноплазменная коагуляция и радиочастотная аблация являются эффективными, относительно безопасными способами лечения хронического лучевого проктита и легко переносятся пациентами.

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