Surgery is justified in patients with bowel obstruction due to radiation therapy.

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
Ming-Shian Tsai, Jin-Tung Liang

Abstract

The management of the patient with radiation-induced bowel obstruction remains controversial. To reassess the surgical therapy for radiation-induced bowel obstruction, we analyzed 22 patients operated upon at the National Taiwan University Hospital. In 10 patients, peritoneal carcinomatosis was found during operation. We classified them as "recurrence group" and the remaining 12 patients as the "study group." Three patients in the study group had metastases, which did not cause bowel obstruction. The clinical presentation and image findings of both groups were not significantly different. The patients of the study group tended to have a low body mass index (mean +/- SD, 18.7 +/- 1.92 kg/m(2)) and decreased serum albumin level (mean +/- SD, 3.12 +/- 0.32 g/dl). Total parenteral nutrition was given for 27.1 +/- 16.0 days (mean +/- SD). The strategies of operation included resection and anastomosis (nine patients), bypass (two patients), or ileostomy (one patient). Operation resolved bowel obstruction and enteral nutrition was resumed in all the patients postoperatively. No early postoperative mortality occurred. Four patients had morbidity, including one reoperation because of anastomotic failure, one enterovesical fistula, and t...Continue Reading

Citations

Mar 1, 2011·Journal of the Chinese Medical Association : JCMA·Ming-Cheng ChenHwei-Ming Wang
Nov 15, 2012·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Aurelien AmiotBernard Messing
Sep 20, 2011·The British Journal of Surgery·J H LefevreY Panis
Jun 2, 2016·American Society of Clinical Oncology Educational Book·Linda Van Le, Mary McCormack

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