Lian B, Yu P F, Yang B, Wang S Q, Li M B, Zhao Q C
Department of Clinical Nutrition, First Affiliated Hospital of Air Force Military Medical University, Xi'an 710032, China.
Department of Digestive Surgery, First Affiliated Hospital of Air Force Military Medical University, Xi'an 710032, China.
Zhonghua Wei Chang Wai Ke Za Zhi. 2023 Oct 25;26(10):922-928. doi: 10.3760/cma.j.cn441530-20230709-00241.
Radiation-induced intestinal injury is a radiation injury of the colon and rectum after radiotherapy for pelvic malignant tumors. This condition affects multiple organs in the pelvis, making treatment challenging. In clinical practice, the most effective protocol is often determined through discussion by a multi-disciplinary team (MDT). However, due to the severity and complexity of radiation enteritis, many patients still experience poor diagnosis and treatment outcomes. Holistic integrative management (HIM) is a rapidly developing concept that has greatly enhanced clinical medicine in recent years. It improves the level of diagnosis, treatment, prevention, and rehabilitation from multiple dimensions of prevention, screening, diagnosis, treatment, and rehabilitation. In the context of radiation-induced intestinal injury, HIM also calls for the implementation of an individualized management system that focuses on the patient as a whole within the healthcare team. From the perspective of HIM, this article introduces some of the latest progress of radiation-induced intestinal injury in recent years.
放射性肠损伤是盆腔恶性肿瘤放疗后结肠和直肠的放射性损伤。这种情况会影响盆腔内的多个器官，使治疗具有挑战性。在临床实践中，最有效的治疗方案通常由多学科团队（MDT）讨论确定。然而，由于放射性肠炎的严重性和复杂性，许多患者的诊断和治疗效果仍然不佳。整体整合医学管理（HIM）是一个近年来迅速发展的概念，极大地提升了临床医学水平。它从预防、筛查、诊断、治疗和康复的多个维度提高了诊断、治疗、预防和康复水平。在放射性肠损伤的背景下，HIM还要求实施一个以患者为整体的个性化管理系统，该系统在医疗团队中以患者为中心。从HIM的角度出发，本文介绍了近年来放射性肠损伤的一些最新进展。
