Radiation-induced intestinal injury is a radiation injury of the colon and rectum after radiotherapy for pelvic malignant tumors. This condition affects multiple organs in the pelvis, making treatment challenging. In clinical practice, the most effective protocol is often determined through discussion by a multi-disciplinary team (MDT). However, due to the severity and complexity of radiation enteritis, many patients still experience poor diagnosis and treatment outcomes. Holistic integrative management (HIM) is a rapidly developing concept that has greatly enhanced clinical medicine in recent years. It improves the level of diagnosis, treatment, prevention, and rehabilitation from multiple dimensions of prevention, screening, diagnosis, treatment, and rehabilitation. In the context of radiation-induced intestinal injury, HIM also calls for the implementation of an individualized management system that focuses on the patient as a whole within the healthcare team. From the perspective of HIM, this article introduces some of the latest progress of radiation-induced intestinal injury in recent years.
放射性肠损伤是继发于盆腔恶性肿瘤放疗后的结直肠放射损伤，涉及盆腔多个脏器，治疗困难，临床上常常通过多学科团队讨论来确定最佳方案。但由于放射性肠损伤病情严重复杂，仍有很多患者诊疗效果不佳。整合医学是近几年来迅速发展的新理念，从“防、筛、诊、治、康”多个维度来提高疾病的诊治、预防和康复水平，贯穿于诊疗全过程，以便从中找出最适合疾病诊疗的最佳方案。放射性肠损伤的整合医学通过对疾病进行早筛与预防、诊断、多学科治疗等方式，为患者的治疗与康复提供多模式支持，并在医疗团队中推行以患者整体为中心的个性化管理体制。本文结合近年来放射性肠损伤诊疗方面的最新进展，从整合医学角度梳理放射性肠损伤的诊治流程，谨供临床参考。.