Intestinal and anorectal complications of treatment for gynecologic malignancy

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In conclusion, among the numerous factors which have been associated with the complications of treatment for gynecologic malignancy, our review indicates that problems are to be anticipated among patients with endometrial carcinoma, and with advanced stage disease requiring radiation, and particularly brachytherapy, along with other therapeutic modalities. Hypertension and other cardiovascular disorders seem to play a role, with obesity, diabetes and previous surgery or inflammatory disease a lesserone.

Early radiation reaction may suggest later problems, and biopsy of rectal or vaginal changes may directly relate to ultimate fistulization.

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