Abstract

CARDENAS, John; AGAMEZ, Claudia  and  PARRA, Sandra. Malignant bowel obstruction. Review. rev.colomb.cancerol. [online]. 2013, vol.17, n.2, pp.77-85. ISSN 0123-9015.

Malignant intestinal obstruction is a complex disease that, despite the low prevalence, causes a high level of discomfort, due to the secondary symptoms produced by various mechanical and functional alterations in the different pathophysiological mechanisms. These symptoms include occlusion of the intestinal lumen, changes in motility, and accumulation of secretions. The treatment of the malignant intestinal obstruction must be individualized to each patient in order to establish the best strategy, either surgical intervention - decompressive gastrostomy or jejunostomy, performing of ostomies and vascular stents - or a medical treatment - opioids, anticholinergics, antiemetics, and steroids. A strategy that synergically combines the different options is generally recommended, in order to achieve suitable control of the symptoms.

Keywords : Intestinal obstruction; Neoplasms; Surgical procedures; Palliative care.

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