1. Malignant Gastrointestinal Obstruction: Options for Decompression and Nutrition
- Author
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Steven Y. Huang, Robert J. Litwin, and Johanna L. Chan
- Subjects
medicine.medical_specialty ,Palliative care ,medicine.diagnostic_test ,business.industry ,Gastroenterology ,Psychological intervention ,Interventional radiology ,Clinical nutrition ,medicine.disease ,Malignancy ,Review article ,Bowel obstruction ,03 medical and health sciences ,0302 clinical medicine ,Quality of life (healthcare) ,030220 oncology & carcinogenesis ,Medicine ,030211 gastroenterology & hepatology ,Radiology, Nuclear Medicine and imaging ,Surgery ,business ,Intensive care medicine - Abstract
Malignant bowel obstruction (MBO) is a relatively common condition affecting patients with advanced malignancy. Therapeutic interventions should be aimed at maintaining quality of life. Given the lack of prospective controlled studies in this patient population, patient management is often based on local practice patterns and anecdotal experience. To foster a collaborative approach among the members of the patient care team involving internal medicine, oncology, palliative care, clinical nutrition, surgery, gastroenterology, and interventional radiology physicians, it is important to improve our understanding of MBO. The purpose of this article is to describe the clinical presentation, pathophysiology, as well as medical, surgical, and nonsurgical palliative options available to patients with MBO for purposes of decompression and nutrition.
- Published
- 2020
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