Severe radiation injury to the sigmoid colon

ABSTRACT We report our experience with the surgical management of severe radiation injury to the rectosigmoid colon. This was a retrospective chart review of patients cared for by the University of South Florida gynecologic oncologists over a 10-year period beginning July 1, 1985. Fifteen patients were identified. Five had a sigmoid stricture. Two of these underwent transverse loop colostomy, and the other three were managed with resection and an anastomosis with protective colostomy. Four patients had severe sigmoiditis, three of which were complicated by hemorrhage. Three of these underwent transverse loop colostomy, and the fourth underwent resection and anastomosis with protective colostomy. Three patients had a sigmoid fistula, with two undergoing transverse loop colostomy and the third undergoing resection and anastomosis with protective colostomy. There were two rectovaginal fistulas, both managed with transverse loop colostomy. One patient had free perforation of the sigmoid colon managed with tra...

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