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[Enteritis caused by small intestine irradiation]

E Marcote Valdivieso1, F Arlandis Félix, A Baltasar

  • 1Servicio de Cirugía General y Aparato Digestivo, Hospital del Servicio Valenciano de Salud Virgen de los Lirios, Alcoy, Alicante.

Revista Espanola De Enfermedades Digestivas
|July 1, 1993
PubMed
Summary

This study presents two cases of small bowel postradiation enteritis following abdominoperineal resection. Delayed occlusive symptoms required surgical intervention, highlighting the long-term complications of pelvic radiation therapy.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Radiation Oncology

Background:

  • Abdominoperineal resection often involves pelvic radiation therapy.
  • Postradiation enteritis can manifest years after treatment.
  • Understanding long-term complications is crucial for patient management.

Observation:

  • Two patients developed small bowel postradiation enteritis 3 and 6 years after receiving 60 Gy pelvic radiation.
  • Symptoms included bowel obstruction requiring surgical intervention.
  • Complications included anastomotic dehiscence and colonic fistula.

Findings:

  • One patient underwent extensive small bowel resection.
  • Another patient had an ileo-transverse colon bypass.
  • Both patients experienced abdominal wall closure defects.

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Implications:

  • Small bowel postradiation enteritis is a significant long-term complication of abdominoperineal resection.
  • Delayed diagnosis and management are critical.
  • Surgical outcomes can be complex, necessitating tailored treatment approaches.