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ORCID (Optional)

https://orcid.org/

0000-0001-7686-361X

Document Type

Case Report

Disciplines

Equipment and Supplies | Higher Education | Medicine and Health Sciences | Surgery | Therapeutics

Abstract

Introduction

Previously irradiated tissue is characterized by changes including decreased vascularity, impaired cellular proliferation, and local hypoxia consistent with fibroblastic atrophy which can persist long after radiation therapy. Hyperbaric oxygen therapy has been shown to be beneficial in the treatment of complications arising from these late effects of radiation on normal tissue through enhancing fibroblast proliferation, collagen maturation, stem cell recruitment, and angiogenesis.

Methods

We report on three patients with debilitating radiation enterocolitis causing issues including recurrent bowel obstruction, anorexia requiring total parenteral nutrition, pain, diarrhea, fecal incontinence, dehydration, and malnutrition.

Results

In all three cases marked improvement was the outcome with hyperbaric treatment.

Conclusion

Hyperbaric oxygen therapy should be routinely considered in the treatment of radiation-induced enteritis or colitis.

DOI

10.32873/unmc.dc.gmerj.4.1.008

Keywords

late radiation effects; radiation colitis; radiation enteritis; hyperbaric oxygen

Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

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