Lower GI 2017

Late Small Bowel toxicity

• Time: 18 mths - 6 yrs after treatment. Cases also after 15 yrs • Incidence: increased with survival, reported 1/5 patients • Underestimated • Cause: RT dose and volumes. • Medical treatment : 55% of symptomatic pts requires medical treatments

Game B . Aliment Pharmacol Ther 2003