title: [Incidence of ileus following rectum resection in rectal carcinoma with or without radiotherapy].
abstract: Between 1984 and 1989 240 patients underwent radical abdominal resection of a rectal carcinoma. Out of 201 patients surviving 12 months or more postoperatively, 2 groups are surveyed. The first group presents patients undergoing adjunctive radiation therapy (n = 47), while the second group did not undergo postoperative radiation therapy (n = 134). Mean follow-up time postoperatively is 39 months. Within the irradiation group, the incidence of ileus was found to be 23% (11/47), and in the non-irradiated group 8% (11/134). Subsequent reoperations to clear intestinal obstruction were performed in 4% (5/134) of non-irradiated patients and 21% (10/47) of the irradiated group. Considering the increased risk of postoperative ileus after rectal resection for rectal carcinoma, the appropriateness of adjunctive radiation therapy should be carefully assessed.
authors.affiliation: Chirurgische Klinik, St. Claraspital, Basel.
authors.forename: M
authors.initials: M
authors.lastname: Els
authors.forename: T
authors.initials: T
authors.lastname: Gross
authors.forename: C
authors.initials: C
authors.lastname: Ackermann
authors.forename: P
authors.initials: P
authors.lastname: Tondelli
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D015994:Incidence; D007415:Intestinal Obstruction / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D011832:Radiation Injuries / Q000150:complications; D012004:Rectal Neoplasms / Q000150:complications / Q000532:radiotherapy / Q000601:surgery*; D012086:Reoperation
vernacular_title: Ileushäufigkeit nach Rektumresektion bei Rektumkarzinom mit und ohne Strahlentherapie.