Malignant Bowel Obstruction in Advanced Cancer

被引:4
|
作者
Koo, Douglas J. [1 ,2 ]
Goring, Tabitha N. [1 ,2 ]
Pinard, Kerry-Ann [3 ]
Egan, Barbara C. [1 ,2 ]
机构
[1] Mem Sloan Kettering Canc Ctr, Dept Med, Hosp Med Serv, 1275 York Ave,MB 438, New York, NY 10065 USA
[2] Weill Cornell Med Coll, 1275 York Ave,MB 438, New York, NY 10065 USA
[3] Columbia Univ Coll Phys & Surg, 630 West 168th St, New York, NY 10032 USA
关键词
Malignant bowel obstruction; Small bowel obstruction; Advanced cancer; Prognosis; Palliative surgery; Total parenteral nutrition;
D O I
10.1016/j.ehmc.2016.02.005
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Malignant bowel obstruction (MBO) is a common complication of advanced cancers and can result in high morbidity and mortality. This article examines the epidemiology, diagnosis, prognosis, and management strategies in patients with MBO applicable to practicing hospitalists. In addition, the appropriateness of surgical versus medical management is discussed, including interventional procedures, medications, and supportive measures, as well as addressing issues surrounding discharge planning, palliative care, and practice improvement.
引用
收藏
页码:413 / 424
页数:12
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