Clinical Study
Pelvic Radiation Disease Management by Hyperbaric Oxygen Therapy: Prospective Study of 44 Patients
| | Grade 1 | Grade 2 | Grade 3 | Grade 4 | Score |
| Subjective | | | | | | Tenesmus | Occasional urgency | Frequent urgency | Constant urgency | Nonresponder | | Mucus lost | Occasional | Frequent | Constant | Nonresponder | | Incontinence | Occasional | Frequent | Constant | Nonresponder | | Defecation frequency | 2–4 times/day | 4–8 times/day | >8 times/day |
Incontrol diarrhea | | Pain | Occasional and minimal | Frequent and tolerable | Constant and intense | Nonresponder and atrocious | | Objective | | | | | | Bleeding | Hide | Occasional >2/week | Constant/daily | Brutal bleeding | | Ulceration | Superficial ≤1 cm² | Superficial >1 cm² | Deep ulcer | Perforation. Fistula | | Stenosis |
>2/3 normal diameter without dilation | 1/3 à 2/3 normal diameter with dilation | <1/3 normal diameter | Complete stenosis | | Management | | | | | | Tenesmus and defecation frequency | Occasional ≤2 antidiarrhea medication/week | Usually >2 antidiarrhea medication/week | Several >2 antidiarrhea medication/day | Surgery/colostomy | | Pain | Occasional, nonopiate treatment | Usually nonopiate treatment | Usually with opiate treatment | Surgery | | Bleeding | Laxatives, for treatment | Occasional blood transfusion | Frequent blood transfusion | Surgery/colostomy | | Ulceration | Dietary management, laxatives | Occasional corticosteroids | Steroids rectal injection, HBOT | Surgery/colostomy | | Stenosis | Dietary management | Occasional dilation | Usually dilation | Surgery | | Incontinence | Occasional use of protective pads | Frequent use of protective pads | Constant use of protective pads | Surgery/colostomy | |
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