title: [Surgical prevention of radiation enteritis: case report and review of literature].
abstract: Due to high morbidity and mortality rates, radiation enteritis is one of the most feared complications of abdominal and pelvic radiation therapy. Advances in radiation technology and radiation planning contributed to recent significant achievements. Surgical prevention provides further opportunities in decreasing the risk of radiation enteritis. A 75 year old male underwent transurethral resection for urothelial carcinoma of the bladder. Prior to initiation of radiation therapy, we performed Shouldice repair for bilateral inguinal hernias to prevent radiation injury to the fixed small intestines. Later our patient received 55 Gy of radiation therapy and two series of Carboplatin chemotherapy. Following radio-chemotherapy our patient did not developed radiation enteritis. In our report we discuss hernioplasty as an important method for prevention of radiation enteritis. We also review other options of surgical prevention.
authors.affiliation: Fővárosi Önkormányzat Uzsoki Utcai Kórház Sebészeti-Érsebészeti Osztály, Budapest. daniel_tekos@hotmail.com
authors.forename: Dániel
authors.initials: D
authors.lastname: Teknös
authors.forename: Zsolt
authors.initials: Z
authors.lastname: Baranyai
authors.forename: Dániel
authors.initials: D
authors.lastname: Sinkó
authors.forename: Ferenc
authors.initials: F
authors.lastname: Jakab
mesh_terms: D000368:Aged; D002277:Carcinoma / Q000188:drug therapy / Q000532:radiotherapy / Q000601:surgery; D017024:Chemotherapy, Adjuvant; D004751:Enteritis / Q000209:etiology / Q000517:prevention & control* / Q000601:surgery*; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D011832:Radiation Injuries / Q000150:complications / Q000209:etiology / Q000517:prevention & control* / Q000601:surgery*; D018714:Radiotherapy, Adjuvant; D001749:Urinary Bladder Neoplasms / Q000188:drug therapy / Q000532:radiotherapy / Q000601:surgery; D019459:Urothelium