title: [Non-surgical treatment of acute and late radiation proctitis].
abstract: Pelvic external radiotherapy with or without brachytherapy plays an important role in the management of pelvic cancers. Despite recent technical innovations including conformal three-dimensional (3D) external beam radiotherapy and more recently intensity modulated radiotherapy (IMRT), local side effects can occur secondary to normal tissue damage caused by ionising radiation. Morbidity depends on the anatomic position of the rectum within the pelvis and the fast turnover rate of the mucosa, as well as the characteristics of the radiation treatment and patient co-morbidities. Medical management is sometimes complex and merits herein a short review.
authors.affiliation: Service de radio-oncologie, CHUV, 1011 Lausanne.
authors.forename: A
authors.initials: A
authors.lastname: Zouhair
authors.forename: P H
authors.initials: PH
authors.lastname: Wiesel
mesh_terms: D000208:Acute Disease; D006801:Humans; D010386:Pelvic Neoplasms / Q000532:radiotherapy; D011349:Proctitis / Q000188:drug therapy* / Q000209:etiology* / Q000473:pathology; D011832:Radiation Injuries / Q000188:drug therapy* / Q000473:pathology; D013997:Time Factors