Irradiation injuries of the large intestine

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Abstract
Patients [15] suffering from irradiation injuries to the large bowel are reviewed. Ten patients required surgical intervention, initially a diverting stoma in 8; intestinal continuity was re-established in 3 patients. Loop ileostomy may be preferable to loop transverse colostomy for fecal diversion, as the former is easier for the patient to manage and ensures no interference with blood supply to the colon should an abdomio-anal-pull-through procedure be indicated later to restore continuity. As only 3 of the patients developed recurrent carcinoma, the initial operation for irradiation injury to the large bowel should be planned so the patient is not ultimately cured of carcinoma but left with a permanent stoma.

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