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Parameters for clinical outcome: Small bowel
Problems in evaluating small bowel toxicity:
1) Different types of treatment can involve small bowel according the
primary tumor
site
(gastric, pancreas, rectum, prostate, cervical cancer)
2) Different types of
combined treatment
according to the primary site
1) Chemotherapy (5-Fu, CDDP, Capecitabine, Gemcitabine)
3) Intrinsic
movements of small bowel
(filling, emptying, peristalsis)
4) Presence of
surgery
(before radiotherapy)
1) Fixed bowel loops
2) Bowel loops hypovascularization
3) Bowel loops injury