HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

Management of large bowel obstruction in advanced ovarian cancer with intraluminal stents.

AbstractBACKGROUND:
While most patients with advanced ovarian cancer can achieve prolonged remission with surgery and chemotherapy, eventually most will recur. Commonly bowel obstruction will complicate their recurrence, usually heralding the terminal phase of their disease. Standard management of bowel obstruction has involved surgical intervention after a period of conservative medical management. Unfortunately, many patients submitted for surgery do not derive benefit from such an approach, spending the majority of their remaining life in the hospital or recovering from the surgery.
CASES:
Two cases of patients with large bowel obstruction resulting from advanced and recurrent ovarian cancer are presented. In the first case, a rectal stent was decided upon as the appropriate management as she was failing first-line therapy, with little likelihood of recovering from a laparotomy. In the second case a large recurrent infected tumor mass had already been debulked, but was continuing to cause obstructive symptoms. In both cases immediate relief of their gastrointestinal symptoms was achieved.
CONCLUSIONS:
In patients with large bowel obstruction secondary to extrinsic compression, useful palliation can be achieved with a colonoscopically placed endoluminal stent.
AuthorsJonathan Carter, Susan Valmadre, Christopher Dalrymple, Kenneth Atkinson, Christopher Young
JournalGynecologic oncology (Gynecol Oncol) Vol. 84 Issue 1 Pg. 176-9 (Jan 2002) ISSN: 0090-8258 [Print] United States
PMID11748998 (Publication Type: Case Reports, Journal Article)
Topics
  • Colonic Diseases (etiology, therapy)
  • Colonoscopy
  • Female
  • Humans
  • Intestinal Obstruction (etiology, therapy)
  • Middle Aged
  • Neoplasm Recurrence, Local (complications)
  • Ovarian Neoplasms (complications)
  • Stents

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: