[Management of chronic radiation enteritis with intestinal obstruction].

OBJECTIVE

To explore the therapeutic method and efficiency of chronic radiation enteritis with intestinal obstruction.

METHODS

Clinical data of 51 patients of chronic radiation enteritis with intestinal obstruction from Aug. 2001 to Dec. 2006 were analyzed retrospectively.

RESULTS

The mean time from the ending of radiation to the occurrence of obstruction was (11.9 +/- 22.6) months. Conservative treatment, intestinal resection-anastomosis, enterostomy, bypass operation and enterolysis were applied and performed in above 51 cases. Two patients could not receive operation because of wild metastasis. One died of peritoneal bleeding after operation. Forty-eight cases were cured and the curative rate was 94.1%.

CONCLUSION

Therapeutic regimen should be chosen according to nutritional status and intestinal impairment in chronic radiation enteritis with intestinal obstruction.