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Table 2 Clinical manifestation and surgical parameters of 166 patients requiring surgery for chronic radiation enteropathy

From: Clinical features, outcome and risk factors in cervical cancer patients after surgery for chronic radiation enteropathy

Characteristics

RRT (n = 46)

RS + RT (n = 120)

P value

Surgical procedure, n (%)

 Obstruction

30(65.2)

109(90.8)

0.000

  Ileal R/A

9(15.2)

41(34.2)

 

  Ileocecal R/A

7(23.3)

39(32.5)

 

  Ileal/Ileocecal R+ ileostomy

8(17.4)

22(18.3)

 

  Ileal/Ileocecal R/A+ colostomy

2(4.3)

1(0.8)

 

  Ileostomy

3(6.5)

2(1.7)

 

  Colostomy

-(0)

1(0.8)

 

  Intestinal enterolysis + Intestinal

1(2.2)

0(0)

 

  Intubafion Plicafion

   

 Fistula

8(17.4)

7(5.8)

0.020

  Ileal R+ ileostomy

1(2.2)

-

 

  Ileal R/A+ colostomy

1(2.2)

-

 

  Ileocecal R/A+ colostomy

1(2.2)

3(2.5)

 

  Ileal R+ ileostomy + colostomy

1(2.2)

-

 

  Ileal R/A+ neobladder + colostomy

1(2.2)

-

 

  Colostomy

3(6.5)

4(3.3)

 

 Free perforation

3(6.5)

2(1.7)

0.258

  ileostomy

2(4.3)

2(1.7)

 

  Ileocecal R/A+ colostomy

1(2.2)

-

 

 Severe chronic radiation proctitisa

5(10.9)

2(1.7)

0.027

  Colostomy

4(8.7)

1(0.8)

 

  Ileocecal R/A+ colostomy

1(2.2)

1(0.8)

 

Total diversion stomy, n (%)

26(56.5)

36(29.8)

0.001

 Ileostomy

16(34.8)

24(20.0)

0.067

 Colostomy

15 (32.6)

11 (9.1)

0.000

Intraperitoneal adhesion states, n (%)b

   

 None(I)

12 (41.4)

8 (8.9)

0.000

 Moderate(II-III)

12(41.4)

65(72.2)

0.003

 Severe(IV-V)

5(17.2)

17(18.9)

0.842

  1. RRT Radical Radiotherapy, RS + RT Radical Surgery plus Radiotherapy, R/A Resection/Anastomosis, R resection
  2. aSevere chronic radiation proctitis as the main clinical manifestation requiring surgery
  3. bIntra-peritoneal adhesion states in patients without suffer other abdominal/pelvic surgery before transferred to our center, except for previous pelvic surgery for cervical cancer