Abstract

Purpose: Gastrointestinal (GI) sequelae are among the most common side effects in gynecologic patients receiving whole pelvic radiotherapy (WPRT). Recently, it has been reported that intensity-modulated whole pelvic radiotherapy (IM-WPRT) reduces the volume of the small bowel and rectum irradiated in these women. However, since introducing IM-WPRT in our clinic, we have noted a broad range of acute GI toxicities. To better understand and minimize these sequelae, the goal of this study is to correlate acute GI toxicity with features of the small bowel and rectal dose-volume histograms (DVHs).

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