Parks' coloanal pull-through XXXX for severe, complicated radiation proctitis.

@entity1 @entity43 @entity548 @entity254 @entity189 @entity188 @entity150 @entity358 @entity292 @entity158 @entity4797 @entity30
A variety of operations have been proposed for the treatment of radiation injuries of the rectum. In this study, the procedure advocated by the late Sir Alan Parks--resection of the diseased segment down to its points of fixation to the vagina, bladder or prostate; with perianal mucosal stripping of the anorectal segment and primary coloanal (pull-through) @entity254 --was performed in 11 @entity1 . In two others, an attempt at colorectal @entity254 was abandoned because of extreme scarring in the pelvis. The procedures were done following definitive treatment of @entity188 (seven @entity1 ), @entity189 (two @entity1 ), @entity189 (one @entity1 ), @entity43 (one @entity1 ), @entity4797 (one @entity1 ), and @entity150 (one @entity1 ). One @entity1 died from a @entity358 on the seventh postoperative day. Of the survivors with a coloanal @entity254 , all had successful closure of their temporary colostomies with follow-up from one to six years. In eight, continence was assessed as being good or excellent. Four @entity1 required anastomotic dilation and another required a surgical procedure for anastomotic stricture. There was one instance each of reoperation for @entity30 . There were no instances of recurrence of @entity548 , @entity292 , perineal @entity158 or tenesmus. The Parks procedure obviates the need for a difficult dissection of the lower rectum and separation of tissues damaged by radiation and avoids the need for eversion techniques. Its selective use is advocated for @entity1 suffering from severe radiation injuries of the rectum.
