{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:19:01Z","timestamp":1787840341687,"version":"build-2784847793"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Management of rectal bleeding due to various underlying malignant pathologies is a difficult situation, especially in the setting of metastatic disease. Palliative radiation is generally offered to such patients to achieve hemostasis. We report a patient diagnosed with metastatic prostate carcinoma which was infiltrating the rectal mucosa. Fifty-four year old patient, with a case of metastatic prostate carcinoma presented with rectal bleeding. On evaluation, he had a friable growth from the anal verge to 10 cm with severe bleeding. We gave intraluminal high-dose rate brachytherapy using an endoluminal vaginal\/rectal cylinder applicator. A dose of 6 Gy, weekly for three weeks was delivered. High-dose-rate brachytherapy was immediately well tolerated. The bleeding stopped completely by day 4 and by day 7 patient was passing yellow stools. Intraluminal high-dose-rate brachytherapy has been proven as an effective palliative treatment in achieving hemostasis from rectal bleeding.<\/jats:p>","DOI":"10.4103\/ijc.ijc_280_22","type":"journal-article","created":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T09:01:32Z","timestamp":1773046892000},"page":"565-568","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["High-dose rate intraluminal brachytherapy in ano-rectum for haemostasis in a case of metastatic infiltrating cancer prostate"],"prefix":"10.4103","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0674-3732","authenticated-orcid":false,"given":"Ashok","family":"Kumar","sequence":"first","affiliation":[{"name":"Department of Radiation Oncology, Army Hospital (R&R), Delhi Cantonment, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5007-7282","authenticated-orcid":false,"given":"Manoj K.","family":"Semwal","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology, Army Hospital (R&R), Delhi Cantonment, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0808-5398","authenticated-orcid":false,"given":"Bhanu","family":"Prakash","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology, Army Hospital (R&R), Delhi Cantonment, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1805-5367","authenticated-orcid":false,"given":"Prabhjeet","family":"Bhatla","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology, Army Hospital (R&R), Delhi Cantonment, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-4895-6210","authenticated-orcid":false,"given":"Nilima","family":"Mishra","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology, Army Hospital (R&R), Delhi Cantonment, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,3,7]]},"reference":[{"key":"R1-20260309","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/j.radonc.2004.06.004","article-title":"High-dose- rate afterloading intraluminal brachytherapy for advanced inoperable rectal carcinoma","volume":"73","author":"Hoskin","year":"2004","journal-title":"Radiother Oncol"},{"key":"R2-20260309","doi-asserted-by":"crossref","first-page":"3","DOI":"10.15761\/GHE.1000178","article-title":"High-dose rate brachytherapy for palliative care in rectal cancer: A case with a complete response, followed by a rare complication","volume":"4","author":"Alati","year":"2019","journal-title":"Gastroenterol Hepatol Endosc"},{"key":"R3-20260309","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.brachy.2009.07.004","article-title":"High-dose-rate afterloading intraluminal brachytherapy for advanced inoperable rectal carcinoma","volume":"9","author":"Corner","year":"2010","journal-title":"Brachytherapy"},{"key":"R4-20260309","first-page":"633","article-title":"High dose rate intraluminal brachytherapy in combination with external beam radiotherapy for palliative treatment of cancer rectum","volume":"13","author":"Begum","year":"2003","journal-title":"J Coll Physicians Surg Pak"},{"key":"R5-20260309","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/j.radonc.2004.01.016","article-title":"Treatment of T1-T2 rectal tumors by contact therapy and interstitial brachytherapy","volume":"70","author":"Coatmeur","year":"2004","journal-title":"Radiother Oncol"},{"key":"R6-20260309","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1016\/j.brachy.2012.11.003","article-title":"High-dose-rate endorectal brachytherapy for locally advanced rectal cancer in previously irradiated patients","volume":"12","author":"Chuong","year":"2013","journal-title":"Brachytherapy"},{"key":"R7-20260309","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1007\/s00066-003-0921-7","article-title":"Palliative interstitial HDR brachytherapy for recurrent rectal cancer","volume":"179","author":"Kolotas","year":"2003","journal-title":"Implantation techniques and results. Strahlenther Onkol"}],"container-title":["Indian Journal of Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijc.ijc_280_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:20:52Z","timestamp":1787836852000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijc.ijc_280_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/ijc.ijc_280_22","relation":{},"ISSN":["0019-509X","1998-4774"],"issn-type":[{"value":"0019-509X","type":"print"},{"value":"1998-4774","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]},"assertion":[{"value":"2022-03-03","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-23","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}