[The incidence of ileus after resection for rectal cancer with and without radiotherapy].
Between 1984 and 1989 240 patients had radical abdominal resection of a rectal carcinoma. Out of 201 patients surviving 12 months or more postoperatively, two groups are surveyed. The first group presents patients undergoing adjunctive radiation therapy (n = 47), 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), in the non-irradiated group 8% (11/134). Subsequent reoperations in order to clear intestinal obstruction were performed on 4% (5/134) of non-irradiated patients and on 21% (10/47) of the irradiated group. Considering the increased risk of postoperative ileus after rectal resection for rectal carcinoma, serious reflection should be given to assessing the appropriateness of adjunctive radiation therapy.
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; D003106:Colon / Q000528:radiation effects*; D003108:Colonic Diseases / Q000601:surgery*; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000601:surgery*; D015182:Lymphatic Irradiation; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000601:surgery*; D011832:Radiation Injuries / Q000601:surgery*; D012004:Rectal Neoplasms / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D012086:Reoperation; D012189:Retrospective Studies