首页|Treatment of radiation-induced hemorrhagic gastritis with prednisolone: A case report

Treatment of radiation-induced hemorrhagic gastritis with prednisolone: A case report

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Radiation-induced gastritis is an infrequent cause of gastrointestinal bleeding.It is a serious complication arising from radiation therapy,and the standard treatment method has not been established.The initial injury is characteristically acute inflammation of gastric mucosa.We presented a 46-year-old male patient with hemorrhagic gastritis induced by external radiotherapy for metastatic retroperitoneal lymph node of hepatocellular carcinoma.The endoscopic examination showed diffuse edematous hyperemicmucosa with telangiectasias in the whole muscosa of the stomach and duodenal bulb.Mlultiple hemorrhagic patches with active oozing were found over the antrum.Anti-secretary therapy was initiated for hemostasis,but melena still occurred off and on.Finally,he was successfully treated by prednisolone therapy.We therefore strongly argue in favor of perdnisolone therapy to effectively treat patients with radiation-induced hemorrhagic gastritis.

Hemorrhagic gastritisRadiationPrednisoloneHepatocellular carcinomaGastrointestinal bleeding

Lan Zhang、Xiao-Ying Xie、Yan Wang、Yan-Hong Wang、Yi Chen、Zheng-Gang Ren

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Liver Cancer Institute, Zhongshan Hospital, Fudan University, Shanghai 200032, China

Key Laboratory of Carcinogenesis and Cancer Invasion, Ministry of Education, Fudan University,Shanghai 200032, China

2012

世界胃肠病学杂志(英文版)
太原消化病研治中心

世界胃肠病学杂志(英文版)

SCI
影响因子:1.001
ISSN:1007-9327
年,卷(期):2012.18(48)
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