GASTRO-INTESTINAL PROBLEMS

Consensus-based recommendation for surveillance of gastro-intestinal problems a , b

This page is part of the PanCare follow-up recommendations for surveillance of late effects. Click here, for more information on these recommendations.

Who is at risk for and should be aware of gastro-intestinal problems?

CAYA cancer survivors

  • treated with radiotherapy to a volume exposing the gastro-intestinal tract, including TBI
  • treated with oesophageal or abdominal surgery
  • with a history of chronic GvHD

What gastro-intestinal problems might occur?

  • Bowel stenosis or obstruction
  • Cholelithiasis
  • Chronic enterocolitis
  • Faecal incontinence
  • Gastro-intestinal fistula
  • Malabsorption
  • Oesophageal stenosis or stricture
  • Neurogenic bowel

What should be done if abnormalities are identified?

  • Perform appropriate diagnostic tests and/or refer to a surgeon or gastro-enterologist

a Further recommendations regarding liver problems are specified in the Consensus-based recommendation for surveillance of liver problems.

b Further recommendations regarding colorectal cancer are specified in the Consensus-based recommendation for surveillance of colorectal cancer.