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방사선 직장염 환자에 관한 임상적 고찰 Clinical Review of Factital Proctitis

대한외과학회지 1975년 17권 10호 p.21 ~ 27
조전, 박기일, 김춘규,
소속 상세정보
조전 (  ) 
연세대학교 의과대학 외과학교실

박기일 (  ) 
연세대학교 의과대학 외과학교실
김춘규 (  ) 
연세대학교 의과대학 외과학교실

Abstract


Twenty cases of radiation proctitis in the period of 11 years from 1964 to 1974 confirmed by biopsy at Yonsei Medical Center were reviewed and analyzed.
According to Sherman´s classification, 6 cases were belong to stage I, 4 cases stage II, 9 cases stage III, and. one case stage IV, respectively. Subjective symptoms were rectal heniorrhage, lower abdominal pain, diarrhea, rectal pain, constipation,. tenesmus and indigestion in the
order of frequency. the injurde sites were in the rectum in 14 cases and in the sigmoid colon in 6 cases. An elapsed time between the initiation of radiation treatment and the onset of symptoms are 0 to 10 months. Indication for operation are stenosis with bleeding or fistula and pain. Colostomy or resection are carried out according to pathological situation.
In most cases, conservative treatment which are consists of bed rest, antibiotics, lower residue diet, spamolytic drugs, hydrocortison, and butazoline are applied initially for mild cases.
The results of treament were generally satisfactory.

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