Summary
Radiation therapy for carcinoma of the uterus may cause early and late reactions in the gastrointestinal tract such as ulcers, hemorrhages, stenosis, and fistula. In many cases surgical treatment has to be restricted to colostomy. Intestinal resections should be performed only in tissues not affected by irradiation. Mortality in surgery after radiation therapy of the intestine is 25 %.
Zusammenfassung
Energiereiche Strahlen können am Magen-Darm-Kanal Früh- und Spätreaktionen auslösen. Zu den letzteren zählen Ulcera, Blutungen, Stenosen und Fisteln. Häufigste Ursache einer Strahlenreaktion ist eine vorangegangene Strahlentherapie wegen eines Uterus-Ca. Die chirurgische Behandlung muß sich oft auf die Anlegung einer Colostomie zur Kotableitung beschränken. Darmresektionen dürfen nur weit im Gesunden vorgenommen werden. Die Letalität chirurgischer Eingriffe wegen Strahlenfolgen am Darm beträgt 25 %.
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Koslowski, L., Neugebauer, W. 24. Probleme nach Strahlentherapie in der Chirurgie. Langenbecks Arch Chiv 355, 173–179 (1981). https://doi.org/10.1007/BF01286836
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DOI: https://doi.org/10.1007/BF01286836