Intraoperative appearance of radiation enteritis: What should be resected?

Jade Fawaz; Olivier Lucidarme; Marc Pocard

doi:10.1016/j.jviscsurg.2023.10.001

Intraoperative appearance of radiation enteritis: What should be resected?

J Visc Surg. 2023 Dec;160(6):479-480. doi: 10.1016/j.jviscsurg.2023.10.001. Epub 2023 Oct 17.

Authors

Jade Fawaz¹, Olivier Lucidarme², Marc Pocard³

Affiliations

¹ Department of Digestive, Hepatobiliary Surgery and Liver Transplantation, Pitié-Salpêtrière Hospital, AP-HP, 47-83, boulevard de l'Hôpital, 75013 Paris, France. Electronic address: jadefawaz@hotmail.com.
² Department of Radiology, Pitié-Salpêtrière Hospital, AP-HP, , 47-83, boulevard de l'Hôpital, Paris, France.
³ Department of Digestive, Hepatobiliary Surgery and Liver Transplantation, Pitié-Salpêtrière Hospital, AP-HP, 47-83, boulevard de l'Hôpital, 75013 Paris, France; Université Paris Cité, Inserm, U1275 CAP Paris Tech, 75010 Paris, France.

PMID: 37858430
DOI: 10.1016/j.jviscsurg.2023.10.001

Abstract

Radiation enteritis can appear up to 30 years after radiotherapy. Outside acute complications, it usually manifests itself as chronic intestinal obstruction. If medical treatment (corticosteroid therapy) fails, surgical treatment is indicated, namely resection of the affected bowel, with removal of the ileo-caecal valve.

Keywords: Chronic intestinal obstruction; Radiation enteritis.

MeSH terms

Enteritis* / etiology
Enteritis* / surgery
Humans
Intestinal Obstruction* / complications
Intestinal Obstruction* / surgery
Intestines
Radiation Injuries* / complications
Radiation Injuries* / surgery