Miller D G, Ivey M, Young J
Ann Intern Med. 1979 Dec;91(6):858-60. doi: 10.7326/0003-4819-91-6-858.
Ten patients with radiation enteritis unresponsive to conventional medical and surgical therapy were put on long-term parenteral nutrition at home. Six of the patients are alive at home; four patients died, two from recurrent cancer. Some of the patients have been able to resume oral intake, but none have been able to discontinue parenteral nutrition. Fistulas healed or had a marked decrease in output. Two patients in our series were given prednisone and slinical improvement of radiation enteritis with this therapy.
10例对传统药物和手术治疗无效的放射性肠炎患者在家中接受长期肠外营养支持。其中6例患者在家中存活;4例患者死亡,2例死于癌症复发。部分患者已能够恢复经口进食,但均未能停止肠外营养支持。瘘管愈合或排出量显著减少。本系列中有2例患者接受了泼尼松治疗,放射性肠炎症状得到临床改善。