Attach importance to standardized treatment of chronic radiation proctopathy

VernacularTitle: 重视慢性放射性直肠病的规范化治疗
Author: Lei WANG ¹ ; Qiyuan QIN ; Tenghui MA
Author Information

1. Department of Colorectal Surgery, the Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Guangdong Institute of Gastroenterology, Guangzhou 510655, China
Publication Type:Journal Article
Keywords: Rectal neoplasms; Radiation injuries; Radiotherapy; Treatment
From: Chinese Journal of Surgery 2017;55(7):500-503
CountryChina
Language:Chinese
Abstract: Radiation proctopathy represents the feared injury of rectum resulting from radiotherapy to pelvic malignancy. Interstitial fibrosis is the major histopathologic feature of chronic radiation proctopathy, whose symptoms may improve over time without any management. Treatment decisions should be based on the pattern and severity of symptoms and endoscopic findings. Non-surgical interventions are generally used to relieve major symptoms and prevent severe complications. Surgery is reserved for patients with refractory complications. Diverting stoma and restorative resection are suggested for selected patients to promote rehabilitation. Overall management should target on the improvement of patients′ long-term quality-of-life.