Course book Advanced Treatment Planning 2018

Parameters for clinical outcome: Small bowel

Problems in evaluating small bowel toxicity: 1) Different types of treatment can involve small bowel according the primary tumor site (gastric, pancreas, rectum, prostate, cervical cancer) 2) Different types of combined treatment according to the primary site 1) Chemotherapy (5-Fu, CDDP, Capecitabine, Gemcitabine) 3) Intrinsic movements of small bowel (filling, emptying, peristalsis) 4) Presence of surgery (before radiotherapy) 1) Fixed bowel loops 2) Bowel loops hypovascularization 3) Bowel loops injury