Review Article
Radiation Proctitis: Current Strategies in Management
| Grade | Symptoms or signs | Overall management |
| 0 | No symptoms | None | 1 | Occasional urgency and occasional pain; superficial ulceration <1 cm2, occult bleeding, and mild stricture | Outpatient management; no lifestyle adjustments | 2 | Intermittent urgency and intermittent pain; superficial ulceration >1 cm2, occasional bleeding, and moderate stricture | Outpatient management; some lifestyle adjustments | 3 | Persistent urgency and persistent pain; deep ulceration, persistent bleeding, severe stricture | Possible short hospital admission or minor surgical intervention; major lifestyle adjustments | 4 | Refractory urgency and uncontrollable pain; gross hemorrhage, perforation, fistula, complete obstruction | Long-term hospital admission or major surgical intervention | 5 | Sepsis, multiorgan failure, and death | Fatal complications |
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