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題 名 | Surgical Management of Radiation Injury of the Small Intestine and Colon--22 Years of Clinical Experience at Tri-Service General Hospital=小腸及大腸放射性傷害之手術處置--三軍總醫院22年之臨床經驗 |
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作 者 | 葉建志; 趙培傑; 糠榮誠; 吳昌杰; 李家政; 蕭正文; 李才宇; 饒樹文; | 書刊名 | Journal of Medical Sciences |
卷 期 | 24:1 2004.02[民93.02] |
頁 次 | 頁13-17 |
分類號 | 416.24 |
關鍵詞 | 小腸; 大腸; 放射性傷害; Diversion; Radiation enterocolitis; Resection; |
語 文 | 英文(English) |
英文摘要 | Background: Radiation injury to the small intestine and colon represents a significant complication of radiotherapy for pelvic and abdominal malignant neoplasms. Surgical management can be extremely difficult, and remains controversial. A retrospective analysis of cases treated at Tri-Service General Hospital was undertaken. Operative morbidity and mortality were essential considerations in the assessment of treatment results. Methods: We reviewed our experience with 29 patients who underwent operative treatment of radiation injuries of the small intestine and colon at our institution between 1980 and 2002. The methods of operation, operative complications and mortality are analysed. Results: There are total 29 cases with the male to female ratio of 23:6. Age varied from 50 to 75 years old with a mean age of 59. Surgical intervention included: (1) Transverse loop colostomy, (2) Hartmann’s operation, (3) Lower anterior resection with colorectal anastomosis, and (4) Segmental resection with anastomosis. Three surgical complications in diversionary operation (16.7%) and 3 complications in resection with anastomosis operation (27.3%). There were no mortalities for the diversionary operation but 2 mortalities for the other operations (18.2%). The average days of initial flatus passage and hospital days for diversionary operations are less than resection with anastomosis operations. Conclusions: Vigorous conservative treatment is sufficient for minor radiation injury of the small intestine and colon. Surgical treatment is necessary for significant or chronic long-term problems. Whatever method the surgeon adopts should be based on the abdominal and pelvic condition. Besides, the patient's general condition and medical problem should be considered before the operation. |
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