UNDERSTANDING THE PROBLEM
There are several different types of Colitis, all of which are characterized by an inflammation of the large intestine (also known as colon). Colitis is one of two types of illness that constitute irritable bowel disease. The other is Crohn’s disease. While there are many causes of colitis including infections, toxins, poor blood supply (ischemia), and autoimmune reactions, they share common symptoms.
Radiation colitis occurs when an increasing number of cells in the colon die as a result of radiation therapy. Often the doses of radiation that cause colon injury are very close to the doses needed to treat cancer in the abdomen or pelvis.
The remainder of this page will focus on Radiation Colitis. Other colitis symptoms and treatment may share many similarities with Ulcerative Colitis and therefore please consult that page accordingly.
UNDERSTANDING WHO SUFFERS
Very little is known about the specific effects that radiation; non-rectal radiation-induced intestinal injury, NRRIII has on the colon.
The most likely symptoms experienced by in patients suffering from radiation colitis are:
- Tenesmus (a continual or recurrent inclination to evacuate the bowels)
In a study, conducted among patients that received postoperative radiation therapy to treat stage IB or IIA cervical cancer, it was found that the incidence of NRRIII was 22%. The risk factors for patients to develop radiation colitis are:
- Radical hysterectomy.
- Radiation dosages delivered to the lower pelvis exceeding 54 GY.
- Aged over 60 years.
- Higher rates of intestinal complications following larger volumes of radiation therapy.
POTENTIAL SIGNS AND SYMPTOMS
Symptoms of radiation colitis may include:
- abdominal cramps
- frequent urges to have a bowel movement
- rectal bleeding
- weight loss and
- fatty stools.
EXAMINATIONS USUALLY REQUIRED
The diagnosis is highly probable in patients suffering from the mentioned symptoms, who have a personal history of recent radiotherapy. The main diagnostic method is a colonoscopy, which allows visualizing the extent and severity of mucosal damage and which enables the doctor to take tissue samples for a histological examination.
PROPOSING TREATMENT AND WHY AIMIS
In the case surgery is proposed, an operation to bypass the large intestine (colon resection) or remove it entirely (colectomy) may be performed.
A total colectomy involves removing the entire colon. Subtotal colectomy is a term to describe a procedure removing part of the colon. Segmental colectomy is a term describing the removal of a segment of the colon and could also be labelled a hemicolectomy to differentiate between the right or left halves of the large intestine. When using the prefix “procto” it indicates a procedure that involves the removal of the rectum as well as the colon. Rectum removal is called proctectomy. Other terms such as low anterior resection, indicating the removal of the sigmoid colon as well as the upper part of the rectum. Although the rectum is distinct from the colon it is a fact that many pathologic conditions and procedures normally related to the colon will involve the rectum.
If a surgeon recommends surgery to treat Radiation Colitis or other types of Colitis, these are potential surgerty types for minimally invasive da Vinci Surgery.
AIMIS is an expert in all da Vinci Robotic surgeries related to Crohn’s and provides advanced techniques offering many advantages over standard laparoscopy such as:
- Greater precision
- Lower blood loss
- Quicker return of bowel function
- Lower rate of complications
- Shorter hospital stay
- Small incisions for minimal scarring
To see the procedures we undertake with Robotic Xi Surgery, please click here
GETTING MORE INFORMATION BEFORE MOVING FORWARD
YOU MAY HAVE QUESTIONS LIKE:
- Can I get more information before I commit to this?
- Can I get a second opinion from you before I commit to this?
- How can I find out the cost before I have any obligation?
WHAT AIMIS CAN DO:
AIMIS will provide a full review, diagnosis and potential surgical options for your condition, after receiving the relevant examinations and information from you. They will also provide an estimate for your surgical procedure before you decide.
AIMIS’ mission is to the provision of “true” healthcare for those who require it. It provides world leading surgeons using state of the art procedures to optimize potential surgical outcomes, whilst taking care of all arrangements so as to allow concentration on recovery.
AIMIS provide competitive prices for state of the art procedures. We also work with a large range of Insurance companies where your policy allows you to have surgery abroad.
FURTHER INFORMATION ON THE PROBLEM:
Radiation colitis is an insidious, progressive disease of increasing frequency, develops 6 monoths to 5 years after regional radiotherapy for malignancy, owing to the deleterious effects of the latter on the colon and the small intestine.
Complications can develop, especially in chronic radiation colitis, such as:
- Intestinal blockage
- Nutritional deficiencies
- Heavy rectal bleeding
- Bowel rupture
- Cystitis (bladder inflammation)
The treatment plan for radiation colitis often depends on the specific symptoms and severity of the condition. The following treatment possibilities are available:
- Everyday Changes – Although food is not a direct cause of radiation colitis, people with the condition can diminish symptoms by eating a low-fat and low-fiber diet, drinking plenty of fluids and avoiding certain foods, caffeine and dairy products. Iron or other nutritional supplements may be needed, as well. Patients are also encouraged to get plenty of rest.
- Medication – A variety of medications can be used to treat radiation colitis. They include drugs to control diarrhea, nausea and bleeding, pain relievers and steroid foams that help relieve rectal inflammation and irritation.
- Surgery – In very rare cases of severe radiation colitis, an operation to bypass the large intestine (colon resection) or remove it entirely (colectomy) may be performed.
FURTHER INFORMATION ON INCREASED RISK GROUPS
Individual patient phenotypic factors have been suggested to influence the susceptibility to intestinal radiation injury. It was reported that older patient age is associated with an increased risk of developing reduced organ function after radiotherapy.
Although the cause of radiation colitis is cancer radiation therapy, other risk factors can increase the risk of radiation injury to the colon such as:
- surgical scar tissue
- high blood pressure
- atherosclerosis (hardening of the arteries) and
- underlying inflammatory bowel disease.
FURTHER EXAMINATION THAT MAYBE REQUIRED OR REQUESTED
Testing for radiation colitis depends on the specific symptoms and severity of the condition. Further tests will be performed based on multiple factors to be able to propose appropriate treatment.
WHY AIMIS FOR THIS SURGERY
AIMIS is an expert in Robotic Surgery for Lower Gastrointestinal Problems including:
Right & Left Hemicolectomy, Subtotal Colectomy, Total Colectomy, Total Proctocolectomy with pouch, Anterior Resection of the Rectum, Total Mesorectal Excision, Abdominoperineal Excision and other minimal invasive procedures involving the best American and International surgeons who are experts in the field
Da Vinci Surgery uses state-of-the-art technology to assist doctors in performing a range of delicate operations for Lower Gastrointestinal problem and offers several potential benefits over traditional open and laparoscopic surgery, including:
- Low rate of major complications
- Lower blood loss
- Greater precision
- Few small incisions - Minimal Scarring
- Better margins with potential less disruption to surrounding tissue
- Shorter hospital stays
- Return to normal activities quicker.
Over the past few years this innovative system has given millions of patients worldwide the benefit of minimal invasive surgery. The da Vinci Xi system has changed technology and the experience of surgery to patients around the world.
OTHER SERVICES PROVIDED BY AIMIS
In addition to its Innovative Healthcare, AIMIS provides seamless service along the way. From the start of your journey you'll know the best flights to take, where you'll be staying, what paperwork you will need. You will have a personal assistant assigned; from your pick up at the airport, to your accommodation, continuous assistance at your pre-consultation, through surgery and in your postsurgical care. Our Patients have said that they feel they have become "part of our family" and some even asked to stay a little longer! AIMIS is here to assist you in an all you requirements, allowing you to focus on your health and recovery.