Please select the option that best describes you:
Topics:
Radiation Oncology • Gastrointestinal Cancers • Liver and Pancreas Tumors • Internal Medicine • Gastroenterology • General Gastroenterology
For palliation of gastric bleeding due to malignancy, is a G-tube a contraindication for RT?
Would you reduce dose, e.g. from 30 Gy in 10 fractions to 20 Gy in 5 fractions, or hyperfractionate, e.g. 1.5 Gy bid to 20-30 Gy?
Answer from: Radiation Oncologist at Academic Institution
I would not change my approach because of a G-tube and I base my dose/fractionation largely on performance status. This recent systematic review is helpful and highlights that a low BED regimen is typically adequate for effective palliation (Tey et al., PMID 28445941).
Sign in or Register to read more