par Putz, Philippe 
;Gerard, André
Référence Acta chirurgica Belgica (Ed. bilingue), 76, 3, page (249-251)
Publication Publié, 1977
;Gerard, André Référence Acta chirurgica Belgica (Ed. bilingue), 76, 3, page (249-251)
Publication Publié, 1977
Article révisé par les pairs
| Résumé : | Between 1968 and 1972, 33 patients with carcinoma of the colon or the rectum underwent a radical surgical procedure followed by adjuvant irradiation therapy. One month after surgery, 6,000 rads were delivered in 6 to 7 weeks. Five of these patients presented later a radiotherapy ileitis, colitis or rectitis. One of them developed a rectitis of the anastomotic area with important diarrheas treated by drugs only; a second presented bowel subobstructions induced by a radiotherapy ileitis and died in cachexy a few months later. The 3 other patients underwent surgery again: one of them for adhesions in the anastomotic area: a definite left colostomy was realized for a stenosic rectitis in the second patient; the last patient underwent surgery 4 times again and died from a rupture of the iliac artery. Discussion on the observations made at surgery and on the surgical pathology data could explain the high rate of these iatrogenic lesions induced by radiotherapy. |
