Radiation to the abdomen and pelvis may result in intestinal injury. Certain factors can increase the risk of intestinal injury.
Risk Factor |
Mechanism |
previous abdominal or pelvic surgery |
adhesions and scarring limit the mobility of the intestine, making it more likely that a beam will affect a limited portion of the intestine |
diabetes mellitus, hypertension, atherosclerosis, cardiovascular disease |
vascular occlusive disease |
thin, elderly and female |
more small intestine within radiation field |
chemotherapy during or immediately after the radiation therapy |
increased radiation sensitivity |
increasing dose of radiation |
dose-related injury |
The risk of injury increases with:
(1) the severity of any one underlying risk factor
(2) the number of risk factors present
I would think malnutrition and other factors reducing the healing process would also favor injury.
Purpose: To identify a patient at risk for intestinal injury following abdominal or pelvic radiation therapy.
Specialty: Hematology Oncology, Gastroenterology
Objective: risk factors, adverse effects
ICD-10: T66,