How do you manage/treat acute radiation-induced enteritis?
I have no problem with the excellent comments already made. However, I think it is important to add some comments.
First - one needs to be sure that the patient truly has radiation enteritis. Many patients receiving abdominal radiation therapy have other issues that need to be explored first. For ex...
The management for acute radiation-induced enteritis is symptomatic in nature, with the best long-term solution being a tincture of time from the completion of radiation.
If a patient has diarrhea (in expected volume and timing, given the recent question about C. Diff evaluation in those receiving p...
This is a relative passion of mine! Oftentimes, radiation enteritis is the result of small intestinal bacterial overgrowth (SIBO), a phenomenon described (and demonstrated with lactulose hydrogen breath testing) in numerous abdominal and pelvic radiotherapy patients (ref: Jahraus et al., Community O...
Very nice discussion. During pelvic RT, patients often ask, "what should I eat?" Our answers are usually driven from a mix of anecdotal/personal experience, oncolore, but limited evidence. I used to be fairly dogmatic about fiber avoidance when I started practice because that's how I was trained. Th...