Management of intestinal obstruction in ovarian cancer

Bowel obstruction often is a sign of progression of ovarian carcinoma and is a major cause of death in this disease. Its treatment is still being debated. Options range from long tube decompression of the GI tract to bowel surgery. The authors review the management of bowel obstruction associated with ovarian carcinoma and provide guidelines helpful in selection of patients for surgical or medical management. Practical aspects of patient care are described in detail and the old adage "Never let the sun set or rise on a bowel obstruction" is examined in light of current surgical and medical management techniques.