Skip to main content
SpringerLink
Log in

Surgical management of radiation injury of the small and large intestine

  • Published:
Diseases of the Colon & Rectum

Summary

The following principles should be observed during operations for radiation injuries of the small and large intestine: 1) The objective of operation is modest: to relieve symptoms. 2) Only healthy bowel, which was outside the radiation field, should be anastomosed. 3) Isolated small intestinal injuries should be resected or bypassed, and extensive dissection should be avoided. 4) Colorectal injuries should be treated by diverting descending colostomy, with or without resection of the diseased bowel.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Calame RJ, Wallach RC: An analysis of the complications of the radiologic treatment of carcinoma of the cervix. Surg Gynecol Obstet 125: 39, 1967

    PubMed  CAS  Google Scholar 

  2. Chaitin H: Colostomy in radiation-induced rectal stricture. Dis Colon Rectum 14: 145, 1971

    Article  PubMed  CAS  Google Scholar 

  3. DeCosse JJ, Rhodes RS, Wentz WB, et al: The natural history and management of radiation induced injury of the gastrointestinal tract. Ann Surg 170: 369, 1969

    Article  PubMed  CAS  Google Scholar 

  4. Dencker H, Johnsson JE, Liedberg G, et al: Surgical aspects of radiation injury to the small and large intestines. Acta Chir Scand 137: 692, 1971

    PubMed  CAS  Google Scholar 

  5. Girvin GW, Schnug GE, Cavanagh CR, et al: Complications of abdominal irradiation. Am Surg 37: 498, 1971

    PubMed  CAS  Google Scholar 

  6. Joelsson I, Räf I: Late injuries of the small intestine following radiotherapy for uterine carcinoma. Acta Chir Scand 139: 194, 1973

    PubMed  CAS  Google Scholar 

  7. Lindahl F: Intestinal injuries following irradiation for carcinoma of the uterine cervix and vesical carcinoma. Acta Chir Scand 136: 725, 1970

    PubMed  CAS  Google Scholar 

  8. Localio SA, Stone A, Friedman M: Surgical aspects of radiation enteritis. Surg Gynecol Obstet 129: 1163, 1969

    PubMed  CAS  Google Scholar 

  9. MacMahon CE, Rowe JW: Rectal reaction following radiation therapy of cervical carcinoma: particular reference to subsequent occurrence of rectal carcinoma. Ann Surg 173: 264, 1971

    Article  PubMed  CAS  Google Scholar 

  10. Mortensen E, Nilsson T, Vesterhauge S: Treatment of intestinal injuries following irradiation. Dis Colon Rectum 17: 638, 1974

    Article  PubMed  CAS  Google Scholar 

  11. Newman A, Katsaris J, Blendis LM, et al: Small-intestinal injury in women who have had pelvic radiotherapy. Lancet 2: 1471, 1973

    Article  PubMed  CAS  Google Scholar 

  12. Schrock TR, Deveney CW, Dunphy JE: Factors contributing to leakage of colonic anastomoses. Ann Surg 177: 513, 1973

    Article  PubMed  CAS  Google Scholar 

  13. Smith AN, Douglas M, McLean N, et al: Intestinal complications of pelvic irradiation for gynecologic cancer. Surg Gynecol Obstet 127: 721, 1968

    PubMed  CAS  Google Scholar 

  14. Sugg WL, Lawler WH, Ackerman LV, et al: Operative therapy for severe irradiational injury in the enteral and urinary tracts. Ann Surg 157: 62, 1963

    Article  PubMed  CAS  Google Scholar 

  15. Wellwood JM, Jackson BT: The itestinal complications of radiotherapy. Br J Surg 60: 814, 1973

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, University of California, 94122, San Francisco, California

    Clifford W. Deveney M.D., Frank R. Lewis Jr. M.D. & Theodore R. Schrock M.D.

Authors
  1. Clifford W. Deveney M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Frank R. Lewis Jr. M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Theodore R. Schrock M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Additional information

Read at the meeting of the American Society of Colon and Rectal Surgeons, San Francisco, California, May 4 to 8, 1975.

About this article

Cite this article

Deveney, C.W., Lewis, F.R. & Schrock, T.R. Surgical management of radiation injury of the small and large intestine. Dis Colon Rectum 19, 25–29 (1976). https://doi.org/10.1007/BF02590847

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02590847

Keywords

Search

Navigation