Recent advances in malignant bowel obstruction: An interface of old and new

被引:2
作者
Vinaya Potluri
Donna S. Zhukovsky
机构
[1] Dept. of Palliative Care/Rehab. Med., University of Texas, MD Anderson Cancer Center, Houston, TX 77030
关键词
Octreotide; Bowel Obstruction; Ketorolac; Percutaneous Endoscopic Gastrostomy; Vasoactive Intestinal Polypeptide;
D O I
10.1007/s11916-003-0047-8
中图分类号
学科分类号
摘要
Malignant bowel obstruction continues to be a difficult problem for patients with abdominal and pelvic primary tumors and tumors originating in other sites. The main treatment options consist of surgery, stenting, and pharmacotheraphy. Despite recent advances, the impact of available treatment modalities on symptom control, longevity, quality of life, and associated health care costs have not been evaluated rigorously. This article reviews the available data and suggest an approach to the management of this challenging patient population. Copyright © 2003 by Current Science Inc.
引用
收藏
页码:270 / 278
页数:8
相关论文
共 49 条
[1]  
McCloy C., Brown C., Bolton J.S., Et al., The etiology of intestinal obstruction in patients without prior laparotomy or hernia, Am. Surg., 64, pp. 19-22, (1998)
[2]  
Krebs H.B., Goplerud D.R., Mechanical intestinal obstruction in patients with gynecologic disease: A review of 368 patients, Am. J. Obstet. Gynecol., 157, pp. 577-583, (1987)
[3]  
Spears H., Petrelli N.J., Herrera L., Mittelman A., Treatment of bowel obstruction after operation for colorectal carcinoma, Am. J. Surg., 155, pp. 383-386, (1988)
[4]  
Clarke-Pearson D.L., Chin N.O., DeLong E.R., Et al., Surgical management of intestinal obstruction in ovarian cancer .I: Clinical features, postoperative complications, and survival, Gynecol. Oncol., 26, pp. 11-18, (1987)
[5]  
Baines M.J., The pathophysiology and management of malignant intestinal obstruction, Oxford Textbook of Palliative Medicine, pp. 526-533, (1999)
[6]  
Feuer D.J., Broadley K.E., Shepard J.H., Barton D.P.J., Systematic review of surgery in malignant bowel obstruction in advanced gynecological and gastrointestinal cancer, Gynecol. Oncol., 75, pp. 313-322, (1999)
[7]  
Stenbygaard L.E., Sorensen J.B., Small bowel metastases in non-small cell lung cancer, Lung Cancer, 26, pp. 95-101, (1999)
[8]  
Hao X.S., Li Q., Chen H., Small bowel metastases of malignant melanoma: Palliative effect of surgical resection, J. Clin. Oncol., 29, pp. 442-444, (1999)
[9]  
Sebastiano M., Assessment and management of mechanical bowel obstruction, Topics in Palliative Care: Volume I, (1997)
[10]  
Basson M.D., Fielding L.P., Bilchik A.J., Et al., Does vasoactive intestinal polypeptide mediate the pathophysiology of bowel obstruction?, Am. J. Surg., 157, pp. 109-115, (1989)