Krouse Robert S
Department of Surgery, University of Pennsylvania, Philadelphia, Pennylvania.
Leonard Davis Institute of Health Economics, Philadelphia, Pennsylvania.
J Surg Oncol. 2019 Jul;120(1):74-77. doi: 10.1002/jso.25451. Epub 2019 Mar 25.
Malignant bowel obstruction (MBO) is a common problem for patients with advanced malignancy, especially colorectal and ovarian cancers. Symptoms include pain, bloating, nausea and vomiting, and inability to eat. Treatment options consist of a wide range of surgical and nonsurgical interventions (medications, endoscopic, or interventional radiology approaches). Outcomes are variable no matter the strategy, and the optimal approach is often not clear. Greater research is needed to assist decision-making for clinicians treating patients with MBO.
恶性肠梗阻(MBO)是晚期恶性肿瘤患者常见的问题,尤其是结直肠癌和卵巢癌患者。症状包括疼痛、腹胀、恶心和呕吐,以及无法进食。治疗选择包括广泛的手术和非手术干预措施(药物治疗、内镜治疗或介入放射学方法)。无论采用何种策略,治疗结果都不尽相同,最佳治疗方法往往也不明确。需要更多的研究来帮助治疗MBO患者的临床医生进行决策。