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| Format: | Artículo científico |
| Language: | es |
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Sociedad de Cirujanos de Chile
2011
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| Online Access: | https://www.redalyc.org/articulo.oa?id=345531949010 |
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Table of Contents:
- Tratamiento de la rectitis actínica hemorrágica con aplicación tópica de formalina al 4% ALEJANDRO BARRERA E. JUAN MANSILLA E. GUILLERMO BANNURA C. FELIPE ILLANES F. JAIME CONTRERAS P. CLAUDIO ZÚÑIGA T. KAREN ROJAS R. BÁRBARA DEL CASTILLO A. FERNANDO DINAMARCA C. Medicina bleeding formaldehyde Radiation rectitis Hemorrhagic radiation rectitis occurs in 15% of patients subjected to pelvic irradiation. One of the treatment alternatives is the topical application of 4% formaldehyde. To report the results of the use of topical formaldehyde in radiation rectitis. Twenty patients aged 36 to 80 years (13 women) with hemorrhagic radiation rectitis were prospectively recruited. Fistula or stenosis was discarded endoscopically. Formaldehyde was applied in the operating room or at the outpatient clinic. Fifteen patients required repeated transfusions. The application was performed in the operating room in fi ve patients. Bleeding stopped in three patients with one application, in 12 patients with two applications and in four, with three applications. In one patient, bleeding did not stop after the fi rst application and had a sigmoid perforation; therefore no further application was attempted. One patient had a severe proctitis after the procedure, which subsided with symptomatic treatment after 15 days. Topical formaldehyde application for hemorrhagic rectitis is effective to stop bleeding but has complications in 10% of patients. 2011 artículo científico 0379-3893 https://www.redalyc.org/articulo.oa?id=345531949010 es http://www.redalyc.org/revista.oa?id=3455 Revista Chilena de Cirugía application/pdf Sociedad de Cirujanos de Chile Revista Chilena de Cirugía (Chile) Num.4 Vol.63