Hyperbaric oxygen treatment of hemorrhagic radiation-induced gastritis after esophagectomy.
My colleagues and I present 2 cases of hemorrhagic postesophagectomy gastritis after chemoradiotherapy for esophageal cancer. On the basis of the location of the gastritis (lesser curve and midstomach) and the classic radiation injury appearance, radiation damage was believed to be the cause. In both patients, hyperbaric oxygen therapy rapidly arrested bleeding. This is the first description in which hyperbaric oxygen therapy was used to treat hemorrhagic postesophagectomy gastritis.
Kernstine
Kemp H
KH
Department of Surgery, The University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242-1009, USA. kemp-kernstine@uiowa.edu
Greensmith
J Eric
JE
Johlin
Frederick C
FC
Funk
Gerry F
GF
De Armond
Daniel T
DT
Van Natta
Timothy L
TL
Berg
Daniel J
DJ
D000368:Aged; D004938:Esophageal Neoplasms / Q000150:complications / Q000532:radiotherapy; D016629:Esophagectomy / Q000009:adverse effects*; D005756:Gastritis / Q000209:etiology / Q000628:therapy*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D006931:Hyperbaric Oxygenation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011832:Radiation Injuries / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome