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Effect of pelvic irradiation of ileal function. [/sup 14/C tracer technique]

Conference · · Radiology; (United States)
OSTI ID:7312070

Thirty-three patients with gynecological neoplasms undergoing radiotherapy to the pelvis had cholyl(1-/sup 14/C)glycine breath tests to assess ileal function. Breath tests were performed on each patient in the first and fifth weeks of treatment and 19 of the patients had a third test three months post-treatment. In the first test, 29.9 +- 16.8 percent (mean +- SD) of the administered dose was excreted in breath /sup 14/C in 24 hours. This rose to 47.3 +- 15.9 percent (t = 6.08; p less than .001) in the fifth week and fell to 36.3 +- 16 percent (t = 2.29; p less than .05) at three months post-treatment. Eight patients had breath tests performed one year post-treatment and the test percentages were 32.7 +- 7.8 percent (t = 1.19; p greater than .10). The increase in /sup 14/CO/sub 2/ excretion in the fifth week of treatment occurred at a time when most patients were having diarrhea. The data suggest that bile acid malabsorption due to ileal dysfunction may be a factor in radiation-induced diarrhea which occurs in nearly all patients during pelvic irradiation.

Research Organization:
Pennsylvania State Univ., Hershey
OSTI ID:
7312070
Journal Information:
Radiology; (United States), Journal Name: Radiology; (United States) Vol. 124:1; ISSN RADLA
Country of Publication:
United States
Language:
English