Gastroenterology Research and Practice / 2011 / Article / Tab 1

Review Article

Radiation Proctitis: Current Strategies in Management

Table 1

GradeSymptoms or signsOverall management

0No symptomsNone
1Occasional urgency and occasional pain; superficial ulceration <1 cm2, occult bleeding, and mild strictureOutpatient management; no lifestyle adjustments
2Intermittent urgency and intermittent pain; superficial ulceration >1 cm2, occasional bleeding, and moderate strictureOutpatient management; some lifestyle adjustments
3Persistent urgency and persistent pain; deep ulceration, persistent bleeding, severe stricturePossible short hospital admission or minor surgical intervention; major lifestyle adjustments
4Refractory urgency and uncontrollable pain; gross hemorrhage, perforation, fistula, complete obstructionLong-term hospital admission or major surgical intervention
5Sepsis, multiorgan failure, and deathFatal complications

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