"Systematic Review of the Management of Intestinal Obstruction due to Advanced Gynaecological and Gastrointestinal Cancer"










Project Summary and Objectives:

The objectives of this project are to assess the efficacy of current methods of investigation and management of patients with intestinal obstruction due to advanced gynaecological and gastrointestinal cancer.

Bowel obstruction is a common problem in the terminal stages of these to malignancies. The symptoms are distressing and the management is sub-optimal with patients often remaining in hospital for weeks.

Management of particular areas of interest are to be reviewed including: imaging, conservative management, pharmacological management, surgery, chemotherapy, parenteral feeding, dietary advice and other interventions.

It is hoped that the findings will help formulate guidelines for diagnosis and management and indicate areas for future research, in order to improve symptom control and quality of life in patients with malignant bowel obstruction.


Further information can be obtained from:

Dr Karen Broadley
Macmillan Consultant in Palliative Medicine/Honorary Lecturer
Department of Palliative Medicine
Royal Marsden NHS Trust
Royal Marsden Hospital
203 Fulham Road
London, SW3 6JJ
UK







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Last updated 22 November 2004
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