title: [Surgical treatment of severe radiation injuries of the small intestine and colon-rectum. Apropos of 85 patients surgically-treated at the Gustave-Roussy Institute].
abstract: Radiation lesions of the small intestine, colon and rectum were treated surgically in 85 patients between 1970 and 1983. These were serious complications in all cases involving the short-term vital prognosis in patients lacking signs of recurrence of cancer for which they had received radiotherapy. Immediate operative mortality was 26%. Anastomotic digestive fistulae complicated 31% of resection-anastomosis and 29% of internal bypass operations. During the next 2 years the progression of the chronic radiation lesions themselves required repeat operations due to further complications in 19% of patients, with an operative mortality of 33%. Rather than comparing efficacy of resection-anastomosis with that of internal bypass procedures they should be considered as complementary, since they have different indications. Based on the analysis of results and acquired experience, a surgical strategy is proposed for treating complicated radiation lesions of the intestines.
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D003106:Colon / Q000528:radiation effects* / Q000601:surgery; D005260:Female; D005833:Genital Neoplasms, Female / Q000532:radiotherapy; D006801:Humans; D007410:Intestinal Diseases / Q000601:surgery; D007421:Intestine, Small / Q000528:radiation effects* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011832:Radiation Injuries / Q000601:surgery*; D012007:Rectum / Q000528:radiation effects* / Q000601:surgery; D012189:Retrospective Studies
vernacular_title: Traitement chirurgical des complications radiques graves du grêle et du côlon-rectum. A propos de 85 patients opérés à l'Institut Gustave-Roussy.