DOI:10.18643/gieu.2014.117
"> DOI:10.18643/gieu.2014.117
"> DOI:10.18643/gieu.2014.117
"/> Medical management versus palliative surgery for bowel obstruction in ovarian cancer
<- Home <- Arhive <- Vol. 10, Issue 3, September 2014



GINECOeu10(3)117-119(2014)
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Medical management versus palliative surgery for bowel obstruction in ovarian cancer

M. Moga, A. Blidaru, S. Casap, A. Pascu, C. Cobelschi, L. Dima


Abstract: Of all gynecological cancers, ovarian cancer represents the major challenge for the clinician. In the ovarian cancer, epithelial tumors have the biggest prevalence, and because they are usually asymptomatic until the occurrence of metastases, in more than two thirds of the cases, the patients presents in advanced stages of the disease. Intestinal obstruction is developed either during initial diagnosis or more commonly, in combination with recurrent disease and may be due to mechanical blocks or carcinomatous ileus. Patients with intestinal obstruction are generally in tainted physical condition, treated intensive in the past with chemotherapy and surgery, in a short period of time. Due to the high morbidity and mortality of surgery in these patients, it is often difficult to decide to perform a surgical intervention. Therefore, a systematic review of surgical interventions is required to evaluate its effects on short-term regarding the control of symptoms and on long-term in order to prolong the life without symptoms and also the ability to further provide chemotherapy. The main goal that we evaluated for the management of bowel obstruction in women with ovarian cancer was to maintain quality of life with an effective control of symptoms.
DOI:10.18643/gieu.2014.117

Keywords: surgery, obstruction, chemotherapy, ovarian cancer, management.

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