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  • Title: Radiation-induced gastrointestinal fistulae.
    Author: Galland RB, Spencer J.
    Journal: Ann R Coll Surg Engl; 1986 Jan; 68(1):5-7. PubMed ID: 3947016.
    Abstract:
    Seventy patients with radiation enteritis presented to a single surgical unit between 1958 and 1984. Of these 10 (14%) had 14 radiation-induced fistulae. The median latent period between radiotherapy and presentation of the fistula was 20 months. The fistulae were often multiple and/or associated with other radiation-induced lesions, patients presenting with fistulae being significantly more likely to have synchronous lesions compared with those who presented with strictures (P = 0.005). These patients are often unfit for major surgery. Wide resection and anastomosis, or exclusion operations are the surgical procedures of choice.
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