Treatment of postradiation stricture of the rectum by the modified duhamel procedure

David S. Starr, Gerald M. Lawrie, George C. Morris

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Benign rectosigmoid stenosis secondary to pelvic radiation presents a difficult problem in management and is usually treated by permanent colostomy with its attendant discomfort and inconvenience. Other approaches include low anterior resection or even transsacral resection of the affected area of rectosigmoid, but they involve risk to rectal, bladder, and sexual function. The Martin modification of the Duhamel procedure is specifically designed to avoid these problems and was used successfully in the present case for treatment of rectosigmoid stenosis. The patient has been followed up 8 years and reports normal sensation and function of bladder and rectum and no disturbance of sexual function.

Original languageEnglish (US)
Pages (from-to)795-797
Number of pages3
JournalThe American Journal of Surgery
Volume137
Issue number6
DOIs
StatePublished - Jan 1 1979

ASJC Scopus subject areas

  • Surgery

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