Bowel (including para-aorta/spleen, pelvis/inguinal, whole abdomen, spine, TBI)
Late Effect (1st of 3)
Bowel obstruction
Your risk is greater if:
- You had a high treatment dose, especially equal to or over 30 (in children)- 45 Gy.
- You had abdominal surgery.
Recommended Evaluation
- If you develop persistent abdominal cramps, pain and/or vomiting you should see a doctor immediately.
Management
- You may need a surgical consultation.
Late Effect (2nd of 3)
Chronic enterocolitis (inflammation of the bowel)
Strictures (narrowing of the bowel)
Your risk is greater if:
- You had a high treatment dose, especially over 45 Gy.
Recommended Evaluation
- If you develop persistent abdominal cramps, pain, and/or vomiting, you should see a doctor immediately
Management
- You may need a surgical consultation.
Late Effect (3rd of 3)
Gastrointestinal cancer
Your risk is greater if:
- You had a higher radiation dose.
- You were treated with chemotherapy, especially alkylating agents (e.g., busulfan, cyclophosphamide).
- You were previously diagnosed and treated for a hepatoblastoma.
- You have a hereditary disorder called Familial polyposis.
Recommended Evaluation
- Test for blood in your stool yearly beginning 10 years after treatment
Management
- You will need a surgical or medical oncology consultation.
