scholarly journals PROGNOSTIC FACTORS AFFECTING OUTCOME OF PALLIATIVE SURGERY FOR MALIGNANT BOWEL OBSTRUCTION IN ADVANCED GASTROENTEROLOGICAL CANCER PATIENTS

2005 ◽  
Vol 66 (11) ◽  
pp. 2651-2655 ◽  
Author(s):  
Masayuki ISHII ◽  
Shigeki YAMAGUCHI ◽  
Hirofumi MORITA ◽  
Mitsuyoshi OHTA ◽  
Syunichi OSADA ◽  
...  
2021 ◽  
Vol 161 ◽  
pp. S1011-S1012
Author(s):  
F. Kraja ◽  
J. Dervishi ◽  
A. Hoti ◽  
E. Karaulli ◽  
I. Akshija ◽  
...  

2020 ◽  
Vol Volume 12 ◽  
pp. 7797-7803
Author(s):  
Kaiying Yu ◽  
Lihui Liu ◽  
Xiaowei Zhang ◽  
Zhanzhi Zhang ◽  
Benqiang Rao ◽  
...  

2017 ◽  
Vol 42 ◽  
pp. 90-94
Author(s):  
Yoshiaki Maeda ◽  
Toshiki Shinohara ◽  
Tomonari Katayama ◽  
Nozomi Minagawa ◽  
Masao Sunahara ◽  
...  

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Jessica Banks ◽  
Sony Aiynattu ◽  
Rafik Ishak

Abstract Patients presenting with malignant bowel obstruction (MBO) due to peritoneal metastasis present a clinical dilemma for surgeons: although palliative surgery is beneficial, post-operative complications and mortality are as high as 30%.  A personalised and multi-disciplinary approach is paramount when treating these patients. Aims This study aimed to review the management (surgical versus conservative) of patients presenting with MBO; ascertain if a multi-disciplinary approach was adopted; and compare clinical outcomes including length-of-stay, readmission rates and mortality.  Methods All patients admitted with MBO secondary to peritoneal metastasis between January 2019 – January 2021 were identified. Results 29 patients; 14 females, were identified with a median age 72. The median length of stay was 16 days. All patients had a CT scan and 76% were performed within 24 hours of admission. 25/29 patients were referred to palliative care. Conclusions Overall mortality and morbidity in our cohort, regardless of surgical or conservative management, is consistent with existing literature. Palliative care input was sought for the majority of patients. Management decisions should be individualised and focus on ensuring the best quality of life for the patient. All decisions should be made with multi-disciplinary input. 


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