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Surgical Palliative Care$
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Geoffrey P Dunn and Alan G Johnson

Print publication date: 2004

Print ISBN-13: 9780198510000

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780198510000.001.0001

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Surgery for the control of symptoms in the abdomen

Surgery for the control of symptoms in the abdomen

(p.159) Chapter 12 Surgery for the control of symptoms in the abdomen
Surgical Palliative Care

Alan G. Johnson

Oxford University Press

This chapter discusses the surgical procedures undertaken to control symptoms in the abdomen. It is revealed that the gastrointestinal (GI) tract is the most common site for primary malignancy, ovarian carcinoma, and secondary tumours. The first topics discussed are including the palliative care team early in the disease process, the symptoms and management of gastrointestinal obstruction, and haemorrhage. Ascites, jaundice, itching, pain, and the reduction of the tumour bulk are also discussed. The chapter determines that abdominal surgeons have a major role in palliative care, and that thanks to many major improvements – postoperative pain control, anaesthetic techniques, general care, and surgical safety – surgery is not necessarily the traumatic intervention it has often seemed.

Keywords:   abdominal symptoms, surgical procedures, gastrointestinal tract, gastrointestinal obstruction, haemorrhage, tumour bulk, primary malignancy, ovarian carcinoma, secondary tumours

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