[Coloanal anastomosis (Parks operation) in the treatment of acute radiation rectitis]. / Anastomosis coloanal (operación de Parks) para el tratamiento de la rectitis actínica grave.
Rev Med Chil
; 123(3): 321-5, 1995 Mar.
Article
em Es
| MEDLINE
| ID: mdl-8525171
ABSTRACT
AIM:
To assess immediate and late results of Parks operation in the treatment of severe radiation rectitis. PATIENTS ANDMETHOD:
Retrospective review of clinical histories of 35 patients with uterine cervical cancer, 5 with endometrial cancer and one with vaginal cancer that received radiotherapy. Two years as a mean after radiotherapy, 14 women had rectal bleeding, 19 fistulae, 7 stenosis and 1 a rectal ulceration. All were initially treated with a discharge colostomy and after a mean interval of 1.6 years, a Parks operation was performed.RESULTS:
One patient died after surgery (2.4%) due to peritonitis and sepsis. Early surgical complications were necrosis of descended colon in 2, intra-abdominal abscess in 1, splenic rupture in 1 and postoperative bleeding in 1. Colostomy was closed in 37 patients three months after surgery. During late follow up (ranging from 3 to 64 months) rectal continence has been assessed as good in 30 patients, fair in 5 and bad in 2. Three women required a new colostomy.CONCLUSION:
Parks operation is a viable therapeutic alternative for severe radiation rectitis.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Proctite
/
Lesões por Radiação
/
Radioterapia
/
Reto
/
Colo
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Middle aged
Idioma:
Es
Revista:
Rev Med Chil
Ano de publicação:
1995
Tipo de documento:
Article