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Radiation Oncology • Gastrointestinal Cancers
How would you manage gastrointestinal bleeding after radiation therapy for pancreas cancer?
Is it possible or common for patients to have mucosal telangiectasias along the portions of the GI tract in the radiation fields? If present, would you consider argon laser or hyperbaric oxygen?
Answer from: Radiation Oncologist at Academic Institution
In our ablative RT experience (100Gy BED, Reyngold, JAMAOncology, in press), we have had a 2.6% rate of bleeding possibly related to RT in patients not on anticoagulation and 15% in patients are on anticoagulation. Using the point dose constraints (60Gy in 25# and 45Gy in 15#), we have typically see...
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