التهاب المستقيم الإشعاعي المزمن الدرجة الأولى: ما الذي يجب فعله عندما لا تسيطر العلاجات الموضعية والتنظيرية على النزيف المستقيمي

References

DOI: 10.5946/ce.2020.288

Chronic radiation proctitis (CRP) · Establish the grade of CRP · Grade 1

Surgery is reserved for patients who fail to show improvement in their symptoms following medical or endoscopic management or in patients with severe complications of RP, such as strictures leading to bowel obstruction, perforations, or fistulas.

In severe cases, proctectomy may become necessary; however, there is no universally approved first-line approach for the surgery.

Diversion of the bowel segment in the form of ileostomy or colostomy has demonstrated significant improvement in the quality of life without further surgical interventions.