[Intestinal complications after the radiation treatment of the rectum cancer--retrospective review of 70 patients].
The radiation of small pelvis is a component of the complex therapy of tumors located in the rectum. Frequently exceeding of the tolerant dose of 45 Gy for the most sensitive organ in the pelvis--the small bowel--is required. The goal of the present research is to analyse the frequency and the gravity of chronic enteritis and what caused it. The analysis is on 70 rectal patients radiated in the time period 1986-1996 with doses 50-60 Gy for the small pelvis by different programs. Well expressed chronic enteritis with"mal absorption syndrom" is found in 5.2% of all the group. In 3.9% of all patients urgent surgical intervention has been required because of adhesive ileus or intestine necrosis. A few conclusions are drawn, the basic one being that the grave chronic radiation enteritis occurs mostly in patients after postoperative radiation with doses above 56-60 Gy.
Klenova
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D000208:Acute Disease; D000230:Adenocarcinoma / Q000532:radiotherapy*; D002908:Chronic Disease; D004751:Enteritis / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D007421:Intestine, Small / Q000528:radiation effects* / Q000601:surgery; D008297:Male; D011832:Radiation Injuries / Q000209:etiology* / Q000601:surgery; D011878:Radiotherapy / Q000009:adverse effects*; D011879:Radiotherapy Dosage; D012004:Rectal Neoplasms / Q000532:radiotherapy*; D012189:Retrospective Studies; D016896:Treatment Outcome