Practical approaches to effective management of intestinal radiation injury:Benefit of resectional surgery

作     者：Nikolaos Perrakis Evangelos Athanassiou Dimitra Vamvakopoulou Maria Kyriazi Haris Kappos Nikolaos C Vamvakopoulos Iakovos Nomikos 

作者机构：Department of SurgeryMetaxa Cancer Memorial HospitalPiraeus 11522Greece Department of SurgeryUniversity of Thessalia Medical SchoolLarissa 41110Greece Department of Biology and GeneticsUniversity of Thessalia Medical SchoolLarissa 41110Greece 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2011年第17卷第35期

页      面：4013-4016页

核心收录：

学科分类：0831[工学-生物医学工程（可授工学、理学、医学学位）] 100207[医学-影像医学与核医学] 1006[医学-中西医结合] 1002[医学-临床医学] 1001[医学-基础医学(可授医学、理学学位)] 08[工学] 1010[医学-医学技术（可授医学、理学学位）] 100106[医学-放射医学] 100602[医学-中西医结合临床] 10[医学] 

基　　金：Supported by The University Hospital of Larissa 

主　　题：Pelvic neoplasms Bowel Radiation injuries Surgery 

摘      要：AIM:To study the outcome of patients undergoing surgical resection of the bowel for sustained radiation-induced damage intractable to conservative ***:During a 7-year period we operated on 17 cases (5 male,12 female) admitted to our surgical department with intestinal radiation injury (IRI).They were originally treated for a pelvic malignancy by surgical resection followed by postoperative *** follow-up,they developed radiation enteritis requiring surgical treatment due to failure of conservative ***:IRI was located in the terminal ileum in 12 patients,in the rectum in 2 patients,in the descending colon in 2 patients,and in the cecum in one *** patients had resection of the affected region(s).There were no postoperative deaths,while 3 cases presented with postoperative complications (17.7%).All patients remained free of symptoms without evidence of recurrence of IRI for a median follow-up period of 42 mo (range,6-96 mo).CONCLUSION:We report a favorable outcome without IRI recurrence of 17 patients treated by resection of the diseased bowel segment.