Coucke P A, Cuttat J F, Mirimanoff R O
Department of Radiotherapy, Centre Hospitalier Universitaire Vandois, Lausanne, Switzerland.
Strahlenther Onkol. 1992 Apr;168(4):226-9.
This is a case report of a patient presenting with rectal carcinoma and Crohn's disease. Adjuvant treatment was considered to be mandatory on the basis of local extension. Therefore a Silastic Tissue Expander Prosthesis (STEP), connected with a subcutaneously located self-sealing valve system, was introduced surgically to push small bowel up out of the treatment portals. Patient received 55 Gy without any acute or late complication. This easy technique allows radiotherapy in conditions where complete elimination of small bowel outside the treatment volume is required.
这是一例患有直肠癌和克罗恩病患者的病例报告。鉴于局部侵犯情况，辅助治疗被认为是必要的。因此，通过手术植入了一个与皮下自密封瓣膜系统相连的硅橡胶组织扩张假体（STEP），将小肠推出治疗区域。患者接受了55 Gy的放疗，未出现任何急性或晚期并发症。这种简便的技术能够在需要将治疗区域外的小肠完全排除的情况下进行放射治疗。
