Surgical treatment of radiation induced injuries of the intestine
In the patient who has received high dose irradiation of the pelvis and abdomen, all abdominopelvic operations should be avoided, unless it is absolutely essential. Persisting obstruction, hemorrhage, intestinal perforation with peritonitis and with abscess and fistula formation are valid indications for surgical intervention. Ninety-three patients have been operated upon for these complications after irradiation. Some anastomotic dehiscence occurred in ten patients. Six operative deaths occurred. Of the 93 patients, 65 were managed by means of complete resection of the involved segment of intestine, followed by restoration of intestinal continuity by means of an end-to-end anastomosis. This is the treatment of choice when the involved area can be safely resected. In the absence of actual intestinal necrosis and when segments of strictured small intestine are adherent deep in the pelvis, and intestinal bypass procedure may represent the treatment of choice. This was accomplished in 20 patients, two of whom eventually required a second operation for resection of the bypassed segment of intestine.
- Research Organization:
- Division of Gynecologic Surgery, Mayo Clinic and Mayo Foundation, Rochester
- OSTI ID:
- 5391196
- Journal Information:
- Surg. Gynecol. Obstet.; (United States), Vol. 153:6
- Country of Publication:
- United States
- Language:
- English
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63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT.
INTESTINES
RADIATION INJURIES
LOCAL IRRADIATION
PATHOLOGY
PATIENTS
PLANNING
RADIOINDUCTION
SIDE EFFECTS
SURGERY
BIOLOGICAL EFFECTS
BIOLOGICAL RADIATION EFFECTS
BODY
DIGESTIVE SYSTEM
GASTROINTESTINAL TRACT
INJURIES
IRRADIATION
MEDICINE
ORGANS
RADIATION EFFECTS
550603* - Medicine- External Radiation in Therapy- (1980-)
560151 - Radiation Effects on Animals- Man