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. 2016 Aug 21;22(31):6972–6986. doi: 10.3748/wjg.v22.i31.6972

Table 2.

Comparison of acute vs chronic radiation proctitis

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