[Management of chronic radiation enteritis with intestinal obstruction].
OBJECTIVE
To explore the therapeutic method and efficiency of chronic radiation enteritis with intestinal obstruction.


METHODS
Clinical data of 51 patients of chronic radiation enteritis with intestinal obstruction from Aug. 2001 to Dec. 2006 were analyzed retrospectively.


RESULTS
The mean time from the ending of radiation to the occurrence of obstruction was (11.9 +/- 22.6) months. Conservative treatment, intestinal resection-anastomosis, enterostomy, bypass operation and enterolysis were applied and performed in above 51 cases. Two patients could not receive operation because of wild metastasis. One died of peritoneal bleeding after operation. Forty-eight cases were cured and the curative rate was 94.1%.


CONCLUSIONS
Therapeutic regimen should be chosen according to nutritional status and intestinal impairment in chronic radiation enteritis with intestinal obstruction.
Li
Ning
N
Department of General Surgery, Jinling Hospital, Nanjing University of Medical School, Nanjing, China. liningrigs@vip.sina.com
Zhu
Wei-Ming
WM
Ren
Jian-An
JA
Li
You-Sheng
YS
Li
Min
M
Jiang
Zhi-Wei
ZW
Li
Jie-Shou
JS
D000328:Adult; D000368:Aged; D002908:Chronic Disease; D004751:Enteritis / Q000150:complications* / Q000209:etiology; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011832:Radiation Injuries / Q000150:complications*; D011878:Radiotherapy / Q000009:adverse effects; D012189:Retrospective Studies