Table 2.
Acute proctitis | Chronic proctitis | |
Symptom development | ≤ 3 mo from start of radiation | > 3 mo from start of radiation to years later |
Incidence | Common (50%-100%) | Less common (2%-20%) |
Common symptoms | Diarrhea, urgency, pain | Rectal bleeding |
Rare symptoms | Significant rectal bleeding | Stricture, obstruction, fistula |
Histopathology | Epithelial cell depletion with inflammatory infiltrate | Small vessel changes without inflammatory infiltrate |
Treatment | Conservative, medical | Conservative, medical, endoscopic, surgical |