{Reference Type}: Journal Article
{Title}: Quality evaluation of guidelines for the diagnosis and treatment of radiation enteritis.
{Author}: Yang XF;Zheng MY;An LY;Sun JM;Hei QW;Ji YH;Sun DL;He HY;
{Journal}: Radiat Oncol
{Volume}: 18
{Issue}: 1
{Year}: Jan 2023 20
{Factor}: 4.309
{DOI}: 10.1186/s13014-023-02204-9
{Abstract}: <B>OBJECTIVE: </B>To systematically evaluate the guidelines for the diagnosis and treatment of radioactive enteritis, compare their differences and reasons and provide some reference for updating them.<BR><B>METHODS: </B>This study used guidelines related to radiation enteritis by searching a database. Four independent reviewers used the AGREE II evaluation tool to evaluate the quality of the included guidelines, collate their main recommendations, and analyze the highest evidence supporting the main recommendations.<BR><B>RESULTS: </B>Six diagnostic and therapeutic guidelines for radiation enteritis were included in this study, one of which, the American Society for Gastrointestinal Endoscopy guidelines, had an overall score of over 60%, which is worthy of clinical recommendation. In the diagnosis and treatment of radioactive rectal injury, the recommendations for hemorrhagic endoscopic treatment are mature and mainly include (I) argon plasma coagulation; (II) formalin treatment; (III) bipolar electrocoagulation; (IV) heater probe; (V) radiofrequency ablation; and (VI) cryoablation.<BR><B>CONCLUSIONS: </B>The methodological quality of radioactive enteritis guidelines is unequal; even in the same guidelines, different domains have a large difference. For radioactive rectal damage diagnosis, a type of endoscopic treatment recommendation is more mature, but the overall diagnosis and treatment of radioactive enteritis still lacks high-quality research evidence.