Abdominal pillow for the sparing of small bowel in four-field conventional pelvic radiotherapy

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dc.authorwosidküçücük, seden/JWP-5854-2024
dc.contributor.authorSaynak, A.
dc.contributor.authorKucucuk, S.
dc.contributor.authorAslay, I.
dc.date.accessioned2024-06-12T11:02:52Z
dc.date.available2024-06-12T11:02:52Z
dc.date.issued2008
dc.departmentTrakya Üniversitesien_US
dc.description.abstractFrom 2003 through 2004, 88 patients with gynecological cancer were referred to Istanbul University Oncology Institute for pelvic radiation therapy. All patients underwent small bowel evaluation within the pelvic radiotherapy field in both the supine and prone positions with and without an abdominal pillow. The small bowel area included in radiation fields and intestinal movement were compared on PA films. All patients were treated by using the abdominal pillow. The median external beam pelvic radiation dose of 5040cGy (range. 3220-5400cGy) was administered. The mean distance of upward displacement of small bowel in the prone position on abdominal pillow compared with in the prone position alone and in the Supine position was 3.6 cm (range, 0-14 cm) and 4.7 cm (range. 0-14 cm). Using the abdominal pillow, the mean small bowel area was reduced by 45% and 55% compared to the prone position alone and the supine position, respectively (p = 0.0001). In patients who had pelvic surgery intestinal movement was significantly reduced. The incidence of G1, G2 and G3 acute radiation toxicity was 18%. 36% and 3%, respectively. This Study demonstrates that the small intestines can be displaced out of the radiation field by an abdominal pillow in the prone position. Also, this noninvasive technique provides for reduction Of acute gastrointestinal morbidity.en_US
dc.identifier.endpage648en_US
dc.identifier.issn0392-2936
dc.identifier.issue6en_US
dc.identifier.pmid19115696en_US
dc.identifier.scopus2-s2.0-56749144052en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage643en_US
dc.identifier.urihttps://hdl.handle.net/20.500.14551/21452
dc.identifier.volume29en_US
dc.identifier.wosWOS:000260301200018en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherI R O G Canada, Incen_US
dc.relation.ispartofEuropean Journal Of Gynaecological Oncologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectGynecologic Tumorsen_US
dc.subjectPelvic Radiotherapyen_US
dc.subjectRadiotherapy Techniquesen_US
dc.subjectPatient Positioningen_US
dc.subjectSmall Bowel Toxicityen_US
dc.subjectDisplacement Systemen_US
dc.subjectRadiation-Therapyen_US
dc.subjectTreatment Fieldsen_US
dc.subjectSmall-Intestineen_US
dc.subjectVolumeen_US
dc.subjectComplicationsen_US
dc.subjectIrradiationen_US
dc.subjectCarcinomaen_US
dc.subjectCanceren_US
dc.subjectInjuryen_US
dc.titleAbdominal pillow for the sparing of small bowel in four-field conventional pelvic radiotherapyen_US
dc.typeArticleen_US

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