Surgical experience with small bowel damage secondary to pelvic radiotherapy

Gidwani, AL; Gardiner, Keith; Clarke, J. C.

doi:10.1007/s11845-008-0181-8

Cited by 6 publications

(2 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Radiation enteritis can present with recurrent intestinal obstruction, fistulation or progressive weight loss ( 19 ) . The acute presentations are usually with intestinal obstruction.…”

Section: Aetiology and Prevention Of Type 2 Intestinal Failurementioning

confidence: 99%

“…The progressive weight loss and bowel obstruction can raise concern regarding recurrence of original malignancy (most often gynaecological). Most often it is the distal ileum that is affected by radiation injury and this can be resected without resulting in IF ( 19 ) . If the radiotherapy has been given post-hysterectomy or if para-aortic nodes have been included in the radiotherapy fields, a more extensive injury may result and surgery to relieve obstruction may result in acute IF.…”

Section: Aetiology and Prevention Of Type 2 Intestinal Failurementioning

confidence: 99%

See 1 more Smart Citation

Management of acute intestinal failure

Gardiner

2011

Proc. Nutr. Soc.

View full text Add to dashboard Cite

Intestinal failure (IF) occurs when intestinal absorptive function is inadequate to maintain hydration and nutrition without enteral or parenteral supplements. It has been classified into three types depending on duration of nutrition support and reversibility. Type 1 IF is commonly seen in the peri-operative period as ileus and usually spontaneously resolves within 14 d. Type 2 IF is uncommon and is often associated with an intra-abdominal catastrophe, intestinal resection, sepsis, metabolic disturbances and undernutrition. Type 3 IF is a chronic condition in a metabolically stable patient, which usually requires long-term parenteral nutrition. This paper focuses on Types 1 and 2 IF (or acute IF) that are usually found in surgical wards. The objectives of this paper are to review the incidence, aetiology, prevention, management principles and outcome of acute IF. The paper discusses the resources necessary to manage acute IF, the indications for inter-hospital transfer and the practicalities of how to transfer and receive a patient with acute IF.

show abstract

“…Radiation enteritis can present with recurrent intestinal obstruction, fistulation or progressive weight loss ( 19 ) . The acute presentations are usually with intestinal obstruction.…”

Section: Aetiology and Prevention Of Type 2 Intestinal Failurementioning

confidence: 99%

Section: Aetiology and Prevention Of Type 2 Intestinal Failurementioning

confidence: 99%