Small bowel obstruction in patients with a prior history of cancer

Total abdominal colectomy, pelvic peritonectomy, and end‐ileostomy for the surgical palliation of mucinous peritoneal carcinomatosis from non‐gynecologic cancer

“…A median survival of 1-6 months is reported following less aggressive palliative surgery [11][12][13]. Some authors advocate non-operative management, but all such efforts are followed by a high rate (40-80%) of early re-obstruction [14].…”

“…The chemotherapy solution was perfused at 41-428C using the ''Coliseum technique'' as standardized in a practice manual. EPIC was performed with 5-fluorouracil as a 5-day peritoneal lavage as standardized in a practice manual [13].…”

Usefulness of CT in patients with intestinal obstruction who have undergone abdominal surgery for malignancy.

“…or a potentially curable new primary tumor [5,6]. For this reason, cancer patients who do not have proven recurrent tu mor or peritoneal carcinomatosis are recom mended for aggressive treatment with early surgery in response to the failure of conserva tive management of the obstruction [20,21].…”

Contribution by Surgical Oncologist in Palliating Cancer Patients - Retrospective analysis at Acharya Harihar Regional Cancer Centre, Cuttack, India

“…The history of previous malignancy or its recurrence anywhere in the body invariably increases the probability that the obstructive pathology is due to a tumor. The proportion with malignant causes of the obstruction is between 59% and 97%; (mean, 78%) [7] Cancer patients can have benign causes for their intestinal obstruction; between 3% to 38% (mean 23%) [7] In few cases radiation enteritis is a cause of such emergency situation [7] . Between 12-28% of cancer patients spontaneously resolved their obstructive problems [7] but can again develop a recurrent bout of obstruction necessitating surgery.…”