[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, two 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 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
D003131:Combined Modality Therapy; D005500:Follow-Up Studies; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D011182:Postoperative Care; D011832:Radiation Injuries; D012004:Rectal Neoplasms / Q000532:radiotherapy* / Q000601:surgery*; D012086:Reoperation; D012189:Retrospective Studies; D000267:Tissue Adhesions / Q000601:surgery
Ileushäufigkeit nach Rektumresektion bei Rektumkarzinom mit und ohne Strahlentherapie.