What is a safe dose to deliver to a gastric bed recurrence adjacent to the duodenal stump post total gastrectomy for gastric carcinoma?

We have published that gastric bleeding occurs commonly with volumes greater than 40cc receiving 50Gy or more, in patients receiving ablative radiation in 15% for large left lobe intrahepatic cholangiocarcinomas. Having a primary liver tumor is probably associated with unrecognized coagulopathy in s...

I agree with @Dr. First Last on duodenal stump tolerance of 50-55 Gy/standard fractionation that prevents delivery of external beam treatment only with curative intent.

If imaging, including PET scan, shows no evidence of distant mets, I would consider treatment with curative intent delivering preop...