@entity102 is an uncommon and serious complication of radiotherapy for pelvic @entity5 . It has been suggested that fecal stream diversion decreases bowel irritation, resulting in @entity548 . We report on the outcome of @entity1 after a diverting loop colostomy for the treatment of severe @entity1161 . All consecutive @entity1 with @entity4272 treated with diverting loop colostomy for @entity548 at one institution between October 1991 and June 1999 were studied. Four @entity1 presented with @entity548 and @entity294 , and two @entity1 had only @entity548 . The mean dose of radiation received was 6,115.11 +/- 955.11 rad. Symptoms of @entity4272 appeared at varying intervals of time after radiation, ranging from 14 months to 17 years. There were no operative complications. During follow-up (36 +/- 29 months), only one of nine @entity1 continued to bleed. Four @entity1 died during the study ( @entity5 relapse, two @entity1 ; @entity712 , one @entity1 ; one @entity204 was caused by severe @entity1161 ). Diverting sigmoid loop colostomy, when performed in properly selected @entity1 with severe @entity548 secondary to @entity1161 refractory to medical management, is well tolerated and effective.

Diverting loop colostomy for the treatment of refractory gastrointestinal bleeding secondary to XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity712 :: ('MESH:D006333', 'Disease') :: ['heart failure'] @entity548 :: ('MESH:D006470', 'Disease') :: ['decreased rectal bleeding', 'rectal bleeding', 'bleeding'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancer', 'malignancies'] @entity1161 :: ('MESH:D011832', 'Disease') :: ['radiation proctitis'] @entity4272 :: ('MESH:D011349', 'Disease') :: ['chronic proctitis'] @entity294 :: ('MESH:D003967', 'Disease') :: ['diarrhea'] @entity102 :: ('MESH:D002908', 'Disease') :: ['Chronic radiation proctitis'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death']
@entity1161 :: (MESH:D011832,Disease) :: ['radiation proctitis']
