A guide to understanding malignant bowel obstruction

Lynch, Bethany; Sarazine, Julia

doi:10.12968/ijpn.2006.12.4.21013

Cited by 2 publications

(1 citation statement)

References 13 publications

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“…The most frequently seen extra-peritoneal malignancies are breast cancer, lung cancer, and melanoma. [31,32] Small bowel tumors are a very rare condition (1-1.6% of gastrointestinal tract tumors) and 53% of these tumors present with AMSBO. [33] The sigmoid colon is the most common site of AMLBO.…”

Section: Discussionmentioning

confidence: 99%

Etiology, Management, and Survival of Acute Mechanical Bowel Obstruction: Five-Year Results of A Training and Research Hospital in Turkey

Karakaş

Yeşiltaş

Gökçek

et al. 2019

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: Acute mechanical bowel obstruction (AMBO) is still a major surgical problem for emergency departments. The aim of this study was to evaluate AMBO in terms of etiology, management, and survival.METHODS: Data of the age, sex, etiology, management, and survival of patients who were hospitalized for bowel obstruction between January 2014 and December 2018 were evaluated retrospectively. Adhesions, tumors, hernias and peritoneal carcinomatosis were evaluated in detail. RESULTS:A total of 735 patients were included in the study. The obstruction was located in the small bowel (AMSBO) in 60% and in the large bowel (AMLBO) in 40%. The mean patient age was 59.9±16.02 years and 52.9% of the patients were male. Adhesion, tumor, and hernia were the most common etiologies of the overall AMBO group (43.3%, 26.2%, and 6%, respectively). The most common etiology for AMSBO was an adhesion (69.3%), while it was a tumor for AMLBO cases (61.6%). The most common management of AMBO patients was a conservative approach (53.2%; adhesions: 76.7%). Surgical palliation was performed in 24.9% (peritoneal carcinomatosis: 65.7%), and resection was performed in 21.9% (volvulus: 61.9%). The mortality rate in the group was 8.6%. The most common etiology was colorectal surgery (51.4%) for adhesions, colorectal cancer (93.8%) for tumors, and incisional hernia (47.7%) in cases of hernia-related AMBO. CONCLUSION:Adhesions, tumors, and hernias are the most common etiologies of AMBO. The incidence of femoral/inguinal hernia have decreased while that of incisional hernia has increased, and it was further observed that peritoneal carcinomatosis has now become as common as hernia as a cause. .). AMBO is described as small (AMSBO) or large (AMLBO) according to the level of the bowel obstruction, and complete or incomplete obstruction according to the discharge of gas. [2] AMBO is observed in the small bowel in 75% to 80% of cases and in the large bowel in 20% to 25%. [3] The etiology of AMBO varies according to considerations such as age, development of the country of occurrence, and the level of the obstruc- ORIGINAL ARTICLEAcute mechanical bowel obstruction (AMBO) is still one of the major surgical problems encountered in emergency departments. AMBO constitutes 3% of all emergency admissions and 15% of acute abdominal pain cases. AMBO is an important cause of mortality as well as costs, as it may involve a long hospital stay, readmissions, and reoperations. [1] AMBO is described as local blockage of intestinal content transit for reasons that may be intramural (e.g., invagination, bezoar,

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Section: Discussionmentioning

confidence: 99%

Etiology, Management, and Survival of Acute Mechanical Bowel Obstruction: Five-Year Results of A Training and Research Hospital in Turkey

Karakaş

Yeşiltaş

Gökçek

et al. 2019

Ulus Travma Acil Cerrahi Derg

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Nurses' experiences caring for patients and families dealing with malignant bowel obstruction

Daines¹,

Stilos²,

Moura

et al. 2013

Int J Palliat Nurs

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Malignant bowel obstruction (MBO) is a well-recognised complication of advanced abdominal and pelvic cancers. Often surgical intervention is not feasible, resulting in complex symptoms and an unpredictable course. Although symptom management is a crucial part of nursing care, psychosocial and emotional issues frequently emerge for patients and families. This qualitative study explored the perspectives of nurses from a palliative care unit, in-patient acute care oncology units, ambulatory cancer setting, and the community on their experiences of caring for patients with MBO and their families. Six individual interviews and two focus groups were conducted. Eight overarching messages were identified related to nurses' experiences. Highlights include aspects of patients' and families' emotional distress, and the nurse-patient relationship in relieving suffering. Nurses have an important and privileged role that involves identifying MBO signs and symptoms, having knowledge of treatment and symptom management options, and helping patients transition from a curative to a palliative philosophy of care.

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A guide to understanding malignant bowel obstruction

Cited by 2 publications

References 13 publications

Etiology, Management, and Survival of Acute Mechanical Bowel Obstruction: Five-Year Results of A Training and Research Hospital in Turkey

Etiology, Management, and Survival of Acute Mechanical Bowel Obstruction: Five-Year Results of A Training and Research Hospital in Turkey

Nurses' experiences caring for patients and families dealing with malignant bowel obstruction

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