Radiobiology 2016
1/03/2016
Small bowel toxicity
• Acute toxicity
• Results of cell death in proliferative compartment • Failure to replace the villus epithelium • Shortening of the villus • Endothelial cell swelling and loss with increased vascular permeability • Breakdown of the mucosal barrier • Mucositis
Consequential late effects
Impairment of barrier function
Dörr, Radiother Oncol 2001
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