title: Laparoscopic insertion of pelvic tissue expander to prevent radiation enteritis prior to radiotherapy for prostate cancer.
abstract: Radiation enteritis is a significant complication of external beam radiotherapy (EBRT) to the pelvis, particularly in patients having high dose radiotherapy (> 80 Gy) and in those with a low pelvic peritoneal reflection allowing loops of small bowel to enter the radiation field. Laparoscopic insertion and subsequent removal of a pelvic tissue expander before and after external beam radiotherapy is a relatively convenient, safe and effective method for displacing loops of bowel out of the pelvis. We report on a patient with prostate cancer who ordinarily would not have been a candidate for EBRT due to loops of bowel low in the pelvis. With laparoscopic insertion and subsequent removal of a tissue expander, he was able to have radiotherapy to the prostate without developing radiation enteritis.
authors.affiliation: Department of Colorectal Surgery, Bankstown Hospital, Eldridge Rd, Bankstown, NSW, Australia.
authors.forename: Gary D
authors.initials: GD
authors.lastname: McKay
authors.forename: Karen
authors.initials: K
authors.lastname: Wong
authors.forename: Daniel R
authors.initials: DR
authors.lastname: Kozman
mesh_terms: D000368:Aged; D004751:Enteritis / Q000517:prevention & control*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008495:Medical Oncology / Q000379:methods; D010388:Pelvis / Q000528:radiation effects; D017430:Prostate-Specific Antigen / Q000096:biosynthesis; D011471:Prostatic Neoplasms / Q000532:radiotherapy*; D011832:Radiation Injuries / Q000517:prevention & control; D011878:Radiotherapy / Q000379:methods*; D011879:Radiotherapy Dosage; D015625:Tissue Expansion Devices; D014057:Tomography, X-Ray Computed / Q000379:methods
chemical_list: D017430:Prostate-Specific Antigen