Operative and long term results after surgery for chronic radiation enteritis

Background: About one third of patients with chronic radiation enteritis will need to be operated on during follow-up. Morbidity and life expectancy after resection and conservative surgical management for chronic radiation enteritis have not been well documented. Methods: From 1984 to 1994, 109 pat...

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Bibliographic Details
Published in:The American journal of surgery 2001-09, Vol.182 (3), p.237-242
Main Authors: Regimbeau, Jean-Marc, Panis, Yves, Gouzi, Jean-Luc, Fagniez, Pierre-Louis
Format: Article
Language:English
Subjects:
Abscesses
Adolescent
Adult
Aged
Aged, 80 and over
Anastomotic leak
Biological and medical sciences
Bypass
Cancer therapies
Chemotherapy
Child
Chronic Disease
Colon
Colostomy
Complications
Diverting stoma
Emergency procedures
Enteritis
Enteritis - etiology
Enteritis - mortality
Enteritis - surgery
Female
Fistula
Follow-Up Studies
Gastroenterology. Liver. Pancreas. Abdomen
Hemorrhage
Humans
Ileostomy
Intestinal obstruction
Intestinal resection
Life expectancy
Life span
Male
Medical sciences
Middle Aged
Morbidity
Mortality
Neoplasm Recurrence, Local
Nutrition
Nutritional status
Ostomy
Other diseases. Semiology
Parenteral Nutrition
Patients
Postoperative
Postoperative Complications
Radiation
Radiation enteritis
Radiation Injuries - mortality
Radiation Injuries - surgery
Radiation therapy
Rectum
Reoperation
Risk factors
Signs and symptoms
Small intestine
Statistical analysis
Stomach, duodenum, intestine, rectum, anus
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Surgical anastomosis
Surgical outcomes
Survival
Survival analysis
Survival Rate
Treatment Outcome
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Description
Summary:Background: About one third of patients with chronic radiation enteritis will need to be operated on during follow-up. Morbidity and life expectancy after resection and conservative surgical management for chronic radiation enteritis have not been well documented. Methods: From 1984 to 1994, 109 patients were operated on with a mean follow-up of 40 months (range 1 to 293). Postoperative mortality, early and late morbidity, long-term survival were studied in patients after resection (n = 65) and after conservative surgical management (n = 42), and in patients after planned or emergency procedure. Existence of possible risk factors for reoperation after a first surgical procedure was analyzed. Results: Five (5%) patients died in the postoperative course. Operative mortality was significantly higher when the procedure was performed as an emergency ( P
ISSN:0002-9610
1879-1883
DOI:10.1016/S0002-9610(01)00705-X