For a refractory GI bleed, would you ever consider re-irradiation of an unresectable gastric or GEJ tumor in a patient previously treated with definitive chemo-RT?

We do this occasionally, with good success and no major complications of which I’m aware. This is likely due to 3 factors: 1) There has been substantial repair after the first course. Our crude rule of thumb is 50% repair after one year. We very rarely re-irradiate before this. 2) Low dose to provid...

Yes.