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

Disclaimer

While PanCare strives to provide accurate and complete information that is up-to-date as of the date of publication, we acknowledge that the sequence of referral and diagnostic tests might vary according to the local and national healthcare system logistics.

It is recognised that survivors and their healthcare professionals have the final responsibility for making decisions concerning their long-term follow-up care. As such, they may choose to either adopt these recommendations or not to do so after individual informed discussion. It is good practice to document this decision.

In addition to regular surveillance, real-time awareness and prompt reporting of new symptoms and signs is essential to the early detection and timely treatment of late effects.

No warranty or representation, expressed or implied, is made concerning the accuracy, reliability, completeness, relevance, or timeliness of this information.

The PanCare materials are free to use for anyone aiming to inform about late effects and long-term survivorship care. However, no financial advantage may be achieved. All communication should reference PanCare and link to the PanCare website.

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.