Abstract
Patients with incurable cancer who develop malignant bowel obstruction (MBO) represent a challenge for acute care surgeons. Most of these patients have a poor prognosis and limited survival. Surgical management, in carefully selected patients, may increase survival, alleviate symptoms, and reduce reobstruction. However, any procedures in this setting should be recognized as palliative and management decisions for these patients should be guided by the patient’s personal goals for treatment. Diagnostic work-up, including laboratory and radiographic studies and a thorough history and physical exam, will inform the surgeon as to the potential treatment options. Ultimately, determination of the appropriate surgical approach is made intra-operatively. Management of this difficult clinical scenario requires complex decision making and sophisticated clinical judgment, both inside and outside the operating room.
| Original language | English (US) |
|---|---|
| Title of host publication | Complications in Acute Care Surgery |
| Subtitle of host publication | The Management of Difficult Clinical Scenarios |
| Publisher | Springer International Publishing |
| Pages | 341-352 |
| Number of pages | 12 |
| ISBN (Electronic) | 9783319423760 |
| ISBN (Print) | 9783319423746 |
| DOIs | |
| State | Published - Jan 1 2016 |
| Externally published | Yes |
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Keywords
- Acute care surgery
- Bowel obstruction
- Intestinal bypass
- Palliative care
- Palliative surgery
- Surgical oncology
ASJC Scopus subject areas
- Medicine(all)
Cite this
Unresectable malignancy and bowel obstruction in the acute care surgery patient. / Cooper, Zara; Lilley, Elizabeth; Jurkovich, Gregory.
Complications in Acute Care Surgery: The Management of Difficult Clinical Scenarios. Springer International Publishing, 2016. p. 341-352.Research output: Chapter in Book/Report/Conference proceeding › Chapter
}
TY - CHAP
T1 - Unresectable malignancy and bowel obstruction in the acute care surgery patient
AU - Cooper, Zara
AU - Lilley, Elizabeth
AU - Jurkovich, Gregory
PY - 2016/1/1
Y1 - 2016/1/1
N2 - Patients with incurable cancer who develop malignant bowel obstruction (MBO) represent a challenge for acute care surgeons. Most of these patients have a poor prognosis and limited survival. Surgical management, in carefully selected patients, may increase survival, alleviate symptoms, and reduce reobstruction. However, any procedures in this setting should be recognized as palliative and management decisions for these patients should be guided by the patient’s personal goals for treatment. Diagnostic work-up, including laboratory and radiographic studies and a thorough history and physical exam, will inform the surgeon as to the potential treatment options. Ultimately, determination of the appropriate surgical approach is made intra-operatively. Management of this difficult clinical scenario requires complex decision making and sophisticated clinical judgment, both inside and outside the operating room.
AB - Patients with incurable cancer who develop malignant bowel obstruction (MBO) represent a challenge for acute care surgeons. Most of these patients have a poor prognosis and limited survival. Surgical management, in carefully selected patients, may increase survival, alleviate symptoms, and reduce reobstruction. However, any procedures in this setting should be recognized as palliative and management decisions for these patients should be guided by the patient’s personal goals for treatment. Diagnostic work-up, including laboratory and radiographic studies and a thorough history and physical exam, will inform the surgeon as to the potential treatment options. Ultimately, determination of the appropriate surgical approach is made intra-operatively. Management of this difficult clinical scenario requires complex decision making and sophisticated clinical judgment, both inside and outside the operating room.
KW - Acute care surgery
KW - Bowel obstruction
KW - Intestinal bypass
KW - Palliative care
KW - Palliative surgery
KW - Surgical oncology
UR - http://www.scopus.com/inward/record.url?scp=85018066504&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85018066504&partnerID=8YFLogxK
U2 - 10.1007/978-3-319-42376-0_26
DO - 10.1007/978-3-319-42376-0_26
M3 - Chapter
AN - SCOPUS:85018066504
SN - 9783319423746
SP - 341
EP - 352
BT - Complications in Acute Care Surgery
PB - Springer International Publishing
ER -