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- W4214611036 abstract "Malignant bowel obstruction is the clinical presentation of patients with symptoms, signs, or radiographic evidence of obstruction to the transit of gastrointestinal contents caused by cancer, or the consequences of anticancer therapy including surgery, chemotherapy, and radiotherapy. Malignant bowel obstruction is often encountered in oncology, surgery, and hospice/palliative care practice. It causes symptoms including nausea, vomiting, abdominal distension, colic, and continuous abdominal pain and constipation. Careful clinical assessment and an understanding of the goals of care, patient’s disease trajectory, prognosis, and treatment preferences with discussion in a multidisciplinary team are crucial in managing malignant bowel obstruction. In patients with a single-level obstruction and good functional status, surgical opinion/stenting should be offered. Patients with multilevel obstruction generally have a poor prognosis, are rarely surgical candidates, and management is with pharmacological therapy, sometimes combined with parenteral hydration, nasogastric tube drainage, or venting gastrostomy." @default.
- W4214611036 created "2022-03-02" @default.
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- W4214611036 date "2021-08-01" @default.
- W4214611036 modified "2023-09-29" @default.
- W4214611036 title "Malignant bowel obstruction" @default.
- W4214611036 doi "https://doi.org/10.1093/med/9780198821328.003.0085" @default.
- W4214611036 hasPublicationYear "2021" @default.
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