Radiation Enteritis – a case report and literature review

Authors

  • Maria Sameiro Liberal Serviço de Cirurgia Geral do Centro Hospitalar de Vila Nova de Gaia/Espinho
  • Mariana Leite
  • Amélia Tavares CHVNG/E
  • Jorge Carrapita Assistente Hospitalar do Serviço de Cirurgia Geral do CHVNG/E
  • Alexandre Costa Assistente Hospitalar do Serviço de Cirurgia Geral do CHVNG/E
  • Costa Cidade Assistente Hospitalar do Serviço de Cirurgia Geral do CHVNG/E
  • Bela Pereira Assistente Hospitalar do Serviço de Cirurgia Geral do CHVNG/E
  • Jorge Maciel Professor Catedrático, Diretor do Serviço de Cirurgia Geral do CHVNG/E

Keywords:

enteritis complications, radiation injuries/complications, chronic disease, treatment outcome

Abstract

Chronic radiation enteritis is an uncommon clinical entity whose incidence has been gradually increasing even with the constant development of techniques that minimize radiotherapy damaging effects. There are different medical approaches concerning its control, however one third of patients need surgical treatment during the course of the disease. The criteria for the suitable timing and the adequate procedure for the surgical approach are not clearly defined. The authors present the case report of a 65-year-old woman with history of pelvic radiotherapy for cervical cancer who displayed symptoms of chronic radiation enteritis two decades after radiotherapy treatment. The patient was submitted to surgical treatment. After 12 months of follow-up, she was asymptomatic and presented a good physical condition. A brief review of the therapeutic options is made regarding this case.

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Author Biographies

Maria Sameiro Liberal, Serviço de Cirurgia Geral do Centro Hospitalar de Vila Nova de Gaia/Espinho

Interna Complementar do 3.º ano de Cirurgia Geral do CHVNG/E

Mariana Leite

Interna Complementar do 3.º ano de Cirurgia Geral do CHVNG/E

Amélia Tavares, CHVNG/E

Assistente Hospitalar do Serviço de Cirurgia Geral do CHVNG/E

Jorge Carrapita, Assistente Hospitalar do Serviço de Cirurgia Geral do CHVNG/E

Assistente Hospitalar do Serviço de Cirurgia Geral do CHVNG/E

Alexandre Costa, Assistente Hospitalar do Serviço de Cirurgia Geral do CHVNG/E

Assistente Hospitalar do Serviço de Cirurgia Geral do CHVNG/E

Costa Cidade, Assistente Hospitalar do Serviço de Cirurgia Geral do CHVNG/E

Assistente Hospitalar do Serviço de Cirurgia Geral do CHVNG/E

Bela Pereira, Assistente Hospitalar do Serviço de Cirurgia Geral do CHVNG/E

Assistente Hospitalar do Serviço de Cirurgia Geral do CHVNG/E

Jorge Maciel, Professor Catedrático, Diretor do Serviço de Cirurgia Geral do CHVNG/E

Professor Catedrático, Diretor do Serviço de Cirurgia Geral do CHVNG/E

References

Webb, G.; Brooke, R.; Silva, A. Cronic radiation enteritis and malnutrition. J Dig Dis 2013; 14: 350-357.

371Turina, M.; Mulhal, A.; Mahid, S.; Yashar, C.; Galandiuk, S. Frequency and surgical management of chronic complications related to pelvic radiation. Arch Surg 2008; 143: 46-52.

Lefevre, J.; Amiot, A.; Joly, F.; Bretagnol, F.; Panis, Y. Risk of recurrence after surgery for chronic radiation enteritis. Br J Surg 2011; 98: 1792-1797.

Kounturas, J.; Zavos, C. Recent advances in the management of radiation colitis. W J Gastr 2008; 14: 7289-7301.

Hawer-Jensen, M.; Wang, J.; Denham, J. Bowel injury: Current and evolving management strategies. Sem Rad Oncol 2003; 13: 357-371.

Perrakis, N.; Athanassioou, E.; Vamvakopoulou, D.; Kyriazi, M.; Kappos, H.; Vamvakopoulos, N.; Nomikos, I. Practical approaches to effective management of intestinal radiation injury: benefit of resectional surgery. W J Gastr 2011; 17: 4013-4016.

Belekar, D.; Desai, A.; Butala, U. Chronic radiation enteritis: a clinical challenge and review. Bom Hosp J 2010; 52: 230-234.

Regimbeau, J.; Panis, Y.; Gouzi, J.; Fagniez, P. Operative long term results after surgery for chronic radiation enteritis. Am J Surg 2001; 182: 237-242.

Wobbes, T.; Vershueren, R.; Lubbers, C.; Jansen, W.; Paping, R. Surgical aspects of radiation enteritis of the small bowel. Dis Colon Rectum 1984; 27: 89-92.

Zhu, W.; Gong, J.; Li, Y.; Li, J. A restrospactive study of surgical treatment of chronic radiation enteritis. J Surg Oncol 2012; 105: 632-626.

Fenner, M.; Sheehan, P.; Nanavati, P.; Ross, D. Chronic radiation enteritis: a community hospital experience. J Surg Oncol 1989; 41: 246-249.

Dietz, D.; Remzi, F.; Fazio, V. Strictureplasty for obstructing small-bowell lesions in fiffuse radiation enteritis – successful outcome in five patients. Dis Colon Rectum 2001; 44: 1772-1777.

Buchman AL. Etiology and initial management of short bowel syndrome. Gastro-enterology 2006; 130: 5-15.

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Published

2017-11-30