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Palliative Care Consultations in Gynaeoncology$
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Sara Booth, Eduardo Bruera, and Teresa Tate

Print publication date: 2004

Print ISBN-13: 9780198528067

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780198528067.001.0001

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The management of bowel obstruction in advanced gynaecological malignancy

The management of bowel obstruction in advanced gynaecological malignancy

Chapter:
(p.89) Chapter 7 The management of bowel obstruction in advanced gynaecological malignancy
Source:
Palliative Care Consultations in Gynaeoncology
Author(s):

Doreen Oneschuk

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198528067.003.0007

This chapter focuses on malignant bowel obstruction (MBO), a common complication in women diagnosed with ovarian cancer, colorectal cancer, and other gynaecological malignancies. MBO generally afflicts 25–42 per cent of patients with advanced ovarian cancer, but rarely occurs in patients with endometrial cancer. MBO develops by the existence of mechanical obstruction from an extrinsic occlusion of the bowel lumen, intraluminal occlusion of the lumen, luminal obstruction due to tumour growth in the bowel wall, and adynamic ileus. Bowel obstruction can also be caused by other non-malignant factors such as adhesion, post-irridation bowel damage, hernias, and inflammatory bowel disease. Management of MBO includes pain management, pharmacological management, and non-pharmacological management. In patients with MBO, pharmacological treatment is generally successful. Only patients who are strictly considered as appropriate candidates for surgery and parenteral nutrition are given such treatments.

Keywords:   malignant bowel obstruction, MBO, bowel obstruction, obstruction, bowel lumen, mechanical obstruction, intraluminal occlusion, luminal obstruction, adynamic ileus, bowel damage

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