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[Intestinal occlusion in cancer].
1Cirujano Oncólogo, Dirección de Cirugía, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Tlalpan. herimd@hotmail.com
Revista De Gastroenterologia De Mexico
|August 3, 2006
Summary
Bowel obstruction is a common complication in advanced cancer patients, particularly those with colorectal or ovarian cancer. Management requires careful patient selection for surgery or palliative care based on clinical status.
Area of Science:
- Oncology
- Gastroenterology
- Palliative Care
Context:
- Bowel obstruction is a frequent and challenging complication in advanced cancer.
- It predominantly affects patients with colorectal and ovarian malignancies.
- Management strategies are often complex and debated.
Purpose:
- To review the literature on managing bowel obstruction in advanced cancer patients.
- To explore clinical presentation, diagnosis, and treatment options.
- To inform clinical decision-making for this patient group.
Summary:
- Bowel obstruction occurs in 5.5–51% of ovarian cancer and 10–28% of colorectal cancer patients.
- Causes include adhesions, malignant deposits, or carcinomatosis, presenting with colic, pain, nausea, and vomiting.
- While surgery is primary for malignant obstruction, palliative care is crucial for unfit patients.
Impact:
- Highlights the need for individualized treatment plans for bowel obstruction in advanced cancer.
- Emphasizes the importance of considering patient's clinical status in treatment selection.
- Informs oncologists and gastroenterologists on current management approaches.