Obstrucción intestinal secundaria a enteritis por radiación: reporte de un caso

César Sisa; Rosana Godoy; Luz Leticia García; Rodrigo Amarilla

doi:10.18004/anales/2020.053.02.165

Authors

César Sisa Universidad Nacional de Asunción, Facultad de Ciencias Médicas, Hospital de Clínicas, Primera Cátedra de Clínica Quirúrgica. San Lorenzo, Paraguay
Rosana Godoy Universidad Nacional de Asunción, Facultad de Ciencias Médicas, Hospital de Clínicas, Primera Cátedra de Clínica Quirúrgica. San Lorenzo, Paraguay
Luz Leticia García Universidad Nacional de Asunción, Facultad de Ciencias Médicas, Hospital de Clínicas, Primera Cátedra de Clínica Quirúrgica. San Lorenzo, Paraguay
Rodrigo Amarilla Universidad Nacional de Asunción, Facultad de Ciencias Médicas, Hospital de Clínicas. San Lorenzo, Paraguay

DOI:

https://doi.org/10.18004/anales/2020.053.02.165

Keywords:

cervical cancer, radiotherapy, radiation enteritis, bowel obstruction, Paraguay

Abstract

Radiation enteritis or actinic enteritis is a complication secondary to the use of radiotherapy to treat pelvic tumors, which can more frequently affect the small intestine (mainly ileum) and the colon. Surgery in patients with chronic radiation enteritis should be reserved in the presence of complications, since it is related to high morbidity and prolonged hospital stay, as well as the possibility of reoperation. We present the case of a patient with intestinal occlusion secondary to radiation enteritis who developed years after the conclusion of her treatment due to cervical cancer, with the objective that this disease has to be suspected in patients with history of radiation.

References

1. Turina M, Mulhall AM, Mahid SS, et al. Frequency and surgical management of chronic complications related to pelvic radia- tion. Arch Surg. 2008;143:46---52.

2. Shadad AK, Sullivan FJ, Martin JD, Egan LJ. Gastrointestinal radiation injury: prevention and treatment. World J Gastroenterol. 2013;19:199-208.

3. Stacey R, Green JT. radiation-induced small bowel disease: Latest developments and clinical guidance. Ther Adv Chronic Dis. 2014;5:15---29.

4. Ruiz Tovar J, Morales V, Hervás A, et al. Late gastrointesti- nal complications after pelvic radiotherapy: Radiation enteritis. Clin Trans Oncol. 2009;11:539---43.

5. Navajas-León FJ, Lucendo-Villarín AJ, Erdozain-Sosa JC, et al. Eosinofilia y enteritis actínica secundarias a radiote- rapia por adenocarcinoma de próstata. Rev Esp Enferm Dig. 2005;97:759---61.

6. Martínez-Ares D, González-Conde B, Souto-Ruzo J, et al. Obscure gastrointestinal bleeding: A complication of radiation enteritis diagnosed by wireless capsule endoscopy. Rev Esp Enferm Dig . 2004;96:132---4.

7. Hussain A, Mahmood H, Thomas A, et al. Does chronic radiation enteritis pose a diagnostic challenge? A report of three cases. Hong Kong Med J. 2008;14:327---30.

8. Nguyen NP, Antoine JE, Dutta S, et al. Current concepts in radia- tion enteritis and implications for future clinical trials. Cancer. 2002;95:1151---63.

9. Romero-Vázquez J, Caunedo-Álvarez A, Rodríguez-Téllez M, et al. Previously unknown stricture due to radiation the- rapy diagnosed by capsule endoscopy. Rev Esp Enferm Dig . 2005;97:449---54.

10. Regimbeau JM, Panis Y, Gouzi JL, Fagniez PL, French Univer-sity Association for Surgical Research. Operative and long termresults after surgery for chronic radiation enteritis. Am J Surg 2001;182(3):237-42.