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Bowel Emergencies in Patients With Cancer.
Hannah Hughes1, Ankush Jajodia2, Philippe Soyer3,4
1Department of Radiology, St. Vincent's University Hospital, Dublin, Ireland.
Cancer patients face increasing bowel emergencies due to advanced therapies. This review details imaging for conditions like colitis, neutropenia, and obstruction, highlighting the radiologist
Area of Science:
- Oncology
- Gastroenterology
- Radiology
Background:
- Cancer is a leading global cause of death.
- Advances in cancer therapy increase patient survival, leading to more prevalent bowel emergencies.
- Oncological patients presenting acutely are often frail with comorbidities.
Purpose of the Study:
- To review the key imaging features of common bowel emergencies in cancer patients.
- To guide radiologists in identifying and managing these critical oncological conditions.
Main Methods:
- Review of imaging findings in oncological patients with acute bowel emergencies.
- Discussion of specific conditions including chemotherapy-related colitis, neutropenic enterocolitis/typhlitis, toxic megacolon, bowel perforation, malignant bowel obstruction, and gastrointestinal hemorrhage.
Main Results:
- Detailed description of characteristic imaging appearances for each discussed bowel emergency.
- Emphasis on the radiologist's role in accurate diagnosis and influencing patient management.
Conclusions:
- Recognizing specific imaging patterns is crucial for diagnosing bowel emergencies in cancer patients.
- Radiological interpretation is vital for timely and effective patient care in oncological emergencies.
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