{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:12:25Z","timestamp":1787015545965,"version":"build-2736575974"},"reference-count":28,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2019,7,2]],"date-time":"2019-07-02T00:00:00Z","timestamp":1562025600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gastro and Hepatol"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aim<\/jats:title>\n                    <jats:p>Although argon plasma coagulation is the current standard endoscopic treatment for chronic radiation proctitis (CRP), radiofrequency ablation (RFA) has emerged as an attractive alternative. The aim of this study is to evaluate the efficacy and safety of RFA for the treatment of CRP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Searches of PubMed, EMBASE, Web of Science, and Cochrane Library databases were performed from 2004 through March 2018. Review and data abstraction were performed independently by two authors. Measured outcomes included hemoglobin, transfusion dependence, number of treatment sessions, RFA settings, and serious adverse events.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Six studies (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a071; mean age 73.41\u00a0\u00b1\u00a01.88\u00a0years; 90.14% male) were included. Thirty\u2010eight percent of patients failed prior treatment with argon plasma coagulation. Patients underwent a mean of 1.71\u00a0\u00b1\u00a00.34 RFA sessions with 24.54\u00a0\u00b1\u00a016.47 RFA applications per session. Pooled clinical and endoscopic success of RFA was 99% (95% confidence interval [CI]: 90\u2013100;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.001) and 100% (95% CI: 94\u2013100;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), respectively. Serious adverse events were reported in one patient\u2014pooled rate of 0% (95% CI: 0\u20133;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). Mean pre\u2010procedure hemoglobin was 10.38\u00a0\u00b1\u00a01.82\u00a0g\/dL with significant improvement observed post\u2010RFA [weighted mean difference 2.49\u00a0g\/dL (95% CI: 2.16\u20132.82;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.001)]. Among transfusion\u2010dependent patients, 85% (95% CI: 68\u201397;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.001) became transfusion\u2010free post\u2010RFA. Pooled mean follow\u2010up was 19.73\u00a0\u00b1\u00a09.72\u00a0months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Despite limited long\u2010term data on RFA for CRP, available evidence suggests RFA is an effective and safe treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgh.14729","type":"journal-article","created":{"date-parts":[[2019,5,21]],"date-time":"2019-05-21T03:44:37Z","timestamp":1558410277000},"page":"1479-1485","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Efficacy and safety of radiofrequency ablation for treatment of chronic radiation proctitis: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4517-5261","authenticated-orcid":false,"given":"Thomas R","family":"McCarty","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Hepatology, and Endoscopy Brigham and Women's Hospital  Boston Massachusetts USA"},{"name":"Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajat","family":"Garg","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Saint John Hospital and Medical Center  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarun","family":"Rustagi","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology University of New Mexico  Albuquerque New Mexico USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,7,2]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"40","article-title":"The natural history of radiation\u2010induced proctosigmoiditis: an analysis of 88 patients","volume":"52","author":"Gilinsky NH","year":"1983","journal-title":"Q. 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