How would you manage a patient with locally advanced rectal cancer with an ileal conduit?

I don't claim to have extensive experience treating these, but I do still recommend the standard of care treatment of neoadjuvant chemoradiation for LARC patients with ileal conduits. I've made sure to keep the ileal conduit to small bowel tolerance doses, using IMRT to avoid as much as possible exp...

When I've had patients with a stoma of any type projecting into some of my treatment portals, I've had the patients do one of their regular seal changes in our exam room on a weekly checkup day--so I could make sure there was no peri-stomal skin of mucosal problem. I'll often have one of the ostomy ...