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©The Author(s) 2020.
World J Gastroenterol. Feb 28, 2020; 26(8): 850-864
Published online Feb 28, 2020. doi: 10.3748/wjg.v26.i8.850
Published online Feb 28, 2020. doi: 10.3748/wjg.v26.i8.850
Characteristic | Case | Median(range or %) | |||||||||||||
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | ||
Age | 70 | 83 | 49 | 48 | 59 | 72 | 58 | 73 | 56 | 47 | 63 | 68 | 46 | 59 | 61 (47-83) |
Sex | F | F | F | F | F | F | M | F | F | F | F | F | F | F | 13 (F, 93%) |
Primary cancer | Cervix | Cervix | Cervix | Cervix | Cervix | Cervix | Rectum | Cervix | Cervix | Anus | Cervix | Cervix | Cervix | Cervix | 12 (Cervix, 86%) |
Radiation dosage, Gy | 98 | 80 | 96 | 60 | 80 | 78 | 50 | 80 | 80 | 84 | 86 | 74 | 120 | 80 | 82 (50-120) |
Duration of bleeding in mo | 19 | 15 | 14 | 21 | 15 | 18 | 8 | 7 | 15 | 10 | 10 | 8 | 11 | 10 | 13 (7-21) |
Pre-Op transfusion (U) | 5 | 8 | 4 | 2 | 4 | 8 | 4 | - | 4 | 2 | 2 | 2 | 2 | - | 12 (Yes, 86%) |
Duration of stoma in mo | 48 | 34 | 18 | 10 | 34 | 9 | 26 | 15 | 12 | 53 | 10 | 15 | 14 | 16 (9-53) | |
Indication(s) for colostomy | Severe anemia | Severe anemia | Severe anemia | Severe anemia | Severe anemia | Severe anemia | Severe anemia | Moderate anemia + perianal pain | Severe anemia | Severe anemia + perianal pain | Severe anemia | Severe anemia | Severe anemia | Severe anemia+ sigmoid colon sclerosis | - |
Hb, g/L | |||||||||||||||
Pre-Op Hb | 44 | 36 | 76 | 63 | 36 | 35 | 71 | 87 | 52 | 78 | 72 | 78 | 76 | 78 | 63 (35-87) |
Post-Op 3 mo | 85 | - | 85 | - | - | 45 | 87 | - | - | - | - | - | - | - | 75 (45-87) |
Post-Op 6 m | - | - | - | - | 94 | - | - | 77 | - | - | 108 | 118 | - | - | 99 (77-118) |
Post-Op 9 mo | - | - | - | 102 | - | 75 | 120 | - | - | - | - | 117 | 122 | - | 107 (75-120) |
Post-Op 1 yr | - | - | - | 100 | 113 | - | - | 123 | 114 | 114 | - | - | - | 105 | 111 (100-123) |
Post-Op 2 yr | - | - | 118 | 102 | - | 111 | 135 | 130 | 114 | - | 110 | - | 117 | - | 117 (102-135) |
Post-Op transfusion | No | Yes | No | No | No | yes | No | yes | No | No | No | No | No | No | |
Stoma closure | Yes | No | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | 13 (Yes, 93%) |
Stoma complications | Hernia | - | - | - | - | - | Prolapse | - | Obstruction | - | - | - | - | - | 3 (Yes, 21%) |
Pre-Op bleeding score | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 2 | 2 | 3 | 2 | 3 | 3 | 3 | 3 (2-3)1 |
Bleeding score at stoma reversal | - | - | 1 | 1 | 1 | 1 | - | 1 | 0 | 0 | - | 0 | 1 | 1 | 1 (0-1)1 |
Treatment after stoma | - | - | - | - | - | APC 1 | Formalin 1 | APC 1 | - | - | APC 1 | - | - | - |
- Citation: Yuan ZX, Qin QY, Zhu MM, Zhong QH, Fichera A, Wang H, Wang HM, Huang XY, Cao WT, Zhao YB, Wang L, Ma TH. Diverting colostomy is an effective and reversible option for severe hemorrhagic radiation proctopathy. World J Gastroenterol 2020; 26(8): 850-864
- URL: https://www.wjgnet.com/1007-9327/full/v26/i8/850.htm
- DOI: https://dx.doi.org/10.3748/wjg.v26.i8.850