Surgical treatment of the radiation injured bowel
| Autor: | Michihiko Ogiwara, Shozo Koyama, Yoshinori Yamaura, Yoshiyuki Hatayama, Osamu Yasuna, Masami Yabe |
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| Rok vydání: | 1979 |
| Předmět: |
Adult
Male medicine.medical_specialty Ileus medicine.medical_treatment Perforation (oil well) Adhesion (medicine) Uterine Cervical Neoplasms Anastomosis Radiotherapy High-Energy Submucosa Intestine Small medicine Methods Humans Radiation Injuries Ulcer Aged Pelvic Neoplasms business.industry Rectal Ulcer Colostomy Rectovaginal Fistula General Medicine Middle Aged medicine.disease digestive system diseases Surgery medicine.anatomical_structure Rectal Diseases Urinary Bladder Neoplasms Rectovaginal fistula Female business |
| Zdroj: | The Japanese journal of surgery. 9(3) |
| ISSN: | 0047-1909 |
| Popis: | Over the last 10 years, 9 patients treated by surgical procedure for radiation injuries of the bowel were studied with the following conclusions: The damage to the small intestine caused by external irradiation leads to adhesion of the bowel, perforation and postoperative anastomotic dehiscence if the irradiated bowel is used in the anastomosis. Surgical treatment for the small intestine is resection of the damaged loop. In order to determine the extent of the resection it is important that during the operation fibrosis and obstruction of vessels in the submucosa and subserosa is examined by biopsy. On the other hand, rectal ulcer and/or rectovaginal fistula is chiefly caused by intracavitary application plus external irradiation. For these lesion Hartmann operation or colostomy is performed, and the postoperative course is uneventful. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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