Anastomosis coloanal, operación de Parks, para el tratamiento de la rectitis actínica grave / Coloanal anastomosis coloanal, Parks surgery, in the treatment of severe radiation rectitis
Rev. méd. Chile
; 123(3): 321-5, mar. 1995. tab
Article
en Es
| LILACS
| ID: lil-151187
Biblioteca responsable:
CL1.1
RESUMO
Aim:
To assess inmediate and late results of Prks operation in the treatment of severe radiation rectitis. Patients andmethods:
Retrospective review of clinical histories of 35 patients with uterine cervical cancer, 5 with endometrial cancer and 1 with vaginal cancer that received radiotherapy. Two years as a mean after radiotherapy, 14 women had rectal bleeding, 19 fistulae, 7 stenosis and 1 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 percent) due to peritonitis and sepsis. Early surgical complications were necrosis of descended colon in 2, intra-abdominal sbscess in 1, splenic rupture in 1 and postoperative bleeding in 1. Colostomy was closed in 37 patients 3 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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Colección:
01-internacional
Base de datos:
LILACS
Asunto principal:
Proctitis
/
Anastomosis Quirúrgica
Tipo de estudio:
Diagnostic_studies
Límite:
Adult
/
Female
/
Humans
Idioma:
Es
Revista:
Rev. méd. Chile
Asunto de la revista:
MEDICINA
Año:
1995
Tipo del documento:
Article
Pais de publicación:
Chile