[Incidence of ileus following rectum resection in rectal carcinoma with or without radiotherapy].
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.
Els
M
M
Chirurgische Klinik, St. Claraspital, Basel.
Gross
T
T
Ackermann
C
C
Tondelli
P
P
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
Ileushäufigkeit nach Rektumresektion bei Rektumkarzinom mit und ohne Strahlentherapie.