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We read with great interest the recently published guideline on the management of gastrointestinal problems after cancer treatment.1 Dr Andreyev and coworkers provide a detailed and highly exhaustive literature review and a very useful practice guidance that will change and substantially improve the current approach to the management of radiation-induced gastrointestinal side effects.
We totally agree that in case of rectal bleeding from radiation-induced telangiectasia after pelvic radiotherapy, application of corticosteroid enemas, although very frequently prescribed, does not provide any beneficial effect.
The development of chronic toxicity is, at least …
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