Surgical management of small-bowel radiation enteritis

Journal Article · Mon Aug 01 04:00:00 EDT 1983 · Arch. Surg. (Chicago); (United States)

DOI:https://doi.org/10.1001/archsurg.1983.01390080013004· OSTI ID:5392646

Lillemoe, K D; Brigham, R A; Harmon, J W; Feaster, M M; Saunders, J R; d'Avis, J A

We treated 17 patients with severe small-bowel radiation enteritis surgically. Fourteen patients were female. Gynecologic malignant lesions (cervical, ovarian, and endometrial) were the most frequent sites of the primary tumors for which radiation was given. Thirteen patients had bowel obstruction, and the remainder had enterovaginal fistulae. Intestinal bypass, rather than resection, was the preferred approach in the treatment of these patients, and was used in 11 cases. Successful palliation was provided in nine patients, with minimal morbidity and no operative deaths. Follow-up at eight to 60 months has shown no further sequelae of radiation injury or of blind loop syndrome. This supports the relative safety of intestinal bypass for the surgical management of small-bowel radiation enteritis.

• Research Organization: Department of Surgery, Walter Reed Army Medical Center, Washington, DC
• OSTI ID: 5392646
• Journal Information: Arch. Surg. (Chicago); (United States), Journal Name: Arch. Surg. (Chicago); (United States) Vol. 118:8; ISSN ARSUA
• Country of Publication: United States
• Language: English

Related Subjects

550604* -- Medicine-- Unsealed Radionuclides in Therapy-- (1980-)
560151 -- Radiation Effects on Animals-- Man
62 RADIOLOGY AND NUCLEAR MEDICINE
63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT.
BODY
CHEMOTHERAPY
DIGESTIVE SYSTEM
DIGESTIVE SYSTEM DISEASES
DISEASES
ENTERITIS
GASTROINTESTINAL TRACT
INTESTINES
LARGE INTESTINE
MEDICINE
NEOPLASMS
NUCLEAR MEDICINE
ORGANS
RADIOINDUCTION
RADIOLOGY
RADIOTHERAPY
SIDE EFFECTS
SURGERY
THERAPY