Radiation enteritis following radiotherapy for prostatic carcinoma

Two cases of radiation enteritis and small bowel obstruction are reported following supervoltage radiation therapy for carcinoma of the prostate. The mechanisms of radiation injury to the small bowel and contributing factors are discussed. It is suggested that lymph node staging procedures for carcinoma of the prostate be done extraperitoneally in order to avoid the enhanced sensitivity of small bowel to radiation injury following transperitoneal procedures.