Right hemicolectomy and ileal resection with primary reanastomosis for irradiation injury of the terminal ileum

William J. Hoskins, Thomas W. Burke, Edward B. Weiser, Paul Heller, Jane Grayson, Robert C. Park

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Injury to the small intestine from pelvic irradiation increases in frequency when extended treatment fields are utilized and when radiation therapy follows a major abdominal operation. Recommended surgical correction of such injury has been intestinal bypass to avoid the excessive morbidity and mortality from anastamotic leaks associated with primary resection and anastomosis. Since 1980, eight patients with extensive ileal injury secondary to irradiation have been seen at the Naval Hospital Bethesda, Maryland. All patients had previously undergone an abdominal operation and three patients had irradiation utilizing extended fields. In all cases, right hemicolectomy and extended ileal resection were performed with primary anastamosis of the ileum to the ascending colon or the transverse colon. Operating time averaged 4 1 2 hr utilizing hand closure anastomoses and 2 1 2 hr with stapled anastomoses. All patients received postoperative hyperalimintation and six of eight patients received preoperative hyperalimentation. One operative death occurred in a patient with intestinal perforation who required multiple resections. The remaining seven patients experienced no serious complications and had rapid return of bowel function. Our experience indicates that wide ileal resection with right hemicolectomy and primary reanastomosis is an acceptable alternative to intestinal bypass for the treatment of severe irradiation injury, especially when performed with gastrointestinal stapling devices.

Original languageEnglish (US)
Pages (from-to)215-224
Number of pages10
JournalGynecologic Oncology
Volume26
Issue number2
DOIs
StatePublished - Jan 1 1987

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Ileum
Wounds and Injuries
Jejunoileal Bypass
Intestinal Perforation
Ascending Colon
Transverse Colon
Small Intestine
Radiotherapy
Hand
Morbidity
Equipment and Supplies
Mortality
Therapeutics

All Science Journal Classification (ASJC) codes

  • Oncology
  • Obstetrics and Gynecology

Cite this

Hoskins, William J. ; Burke, Thomas W. ; Weiser, Edward B. ; Heller, Paul ; Grayson, Jane ; Park, Robert C. / Right hemicolectomy and ileal resection with primary reanastomosis for irradiation injury of the terminal ileum. In: Gynecologic Oncology. 1987 ; Vol. 26, No. 2. pp. 215-224.
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Right hemicolectomy and ileal resection with primary reanastomosis for irradiation injury of the terminal ileum. / Hoskins, William J.; Burke, Thomas W.; Weiser, Edward B.; Heller, Paul; Grayson, Jane; Park, Robert C.

In: Gynecologic Oncology, Vol. 26, No. 2, 01.01.1987, p. 215-224.

Research output: Contribution to journalArticle

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