[en] This is a case report of a patient presenting with rectal carcinoma and Crohn's disease. Adjuvant treatment was considered to be mandatory on the basis of local extension. Therefore a Silastic Tissue Expander Prosthesis (STEP), connected with a subcutaneously located self-sealing valve system, was introduced surgically to push small bowel up out of the treatment portals. Patient received 55 Gy without any acute or late complication. This easy technique allows radiotherapy in conditions where complete elimination of small bowel outside the treatment volume is required. [fr] Il s'agit d'un cas clinique d'un patient présentant un cancer du rectum et de la maladie de Crohn. Adjuvant treatment was considered to be mandatory on the basis of local extension. Traitement adjuvant a été considérée comme obligatoire sur la base de l'extension locale. Therefore a Silastic Tissue Expander Prosthesis (STEP), connected with a subcutaneously located self-sealing valve system, was introduced surgically to push small bowel up out of the treatment portals. Par conséquent, un Silastic Tissue Expander Prothèses (STEP), liée à un sous-cutanée située auto-obturant le système de valve, a été introduit chirurgicalement à pousser jusqu'à l'intestin grêle sur les portails de traitement. Patient received 55 Gy without any acute or late complication. Patient a reçu 55 Gy sans aucune complication aiguë ou tardive. This easy technique allows radiotherapy in conditions where complete elimination of small bowel outside the treatment volume is required. Cette technique simple permet de radiothérapie dans des conditions où l'élimination complète de l'intestin grêle en dehors du volume de traitement est nécessaire.
Disciplines :
Oncology
Author, co-author :
Coucke, Philippe ; Centre Hospitalier Universitaire Vandois > Radiothérapie
Cuttat, J-F; Centre Hospitalier Universitaire Vandois > Radiotherapy
Mirimanoff, R-O; Centre Hospitalier Universitaire Vandois > Radiotherapy
Language :
English
Title :
Small bowel protection with "STEP". Silastic tissue expander prosthesis.
Alternative titles :
[fr] La protection de l'intestin de petite taille dans "Step". Silastic tissue expander prosthesis. Silastic extenseur de tissu prothèse
