Reviews
1 August 2025
Vol. 1 No. 1 (2023)
Current need for guidelines in emergency surgery in peritoneal carcinomatosis
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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Malignant bowel obstruction caused by peritoneal carcinomatosis is a common complication that affects a large proportion of gastrointestinal and ovarian oncology patients and predicts poor longterm survival. The management strategy for these patients includes a variety of medical therapies and surgical options; however, how to choose the best treatment strategy remains a mystery. The purpose of this narrative review was to summarize the most recent evidence on multimodal malignant bowel obstruction treatment and determine whether or not progress had been made. We should work to establish consensus guidelines, where possible, to ensure that this unique patient group receives the appropriate treatment or compassionate care during this often terminal event.
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Citations
Coccolini F, Gheza F, Lotti M, Virzì S, Iusco D, Ghermandi C, Melotti R, Baiocchi G, Giulini SM, Ansaloni L, Catena F. Peritoneal carcinomatosis. World J Gastroenterol 2013;19:6979-94. DOI: https://doi.org/10.3748/wjg.v19.i41.6979
Sugarbaker PH. Surgical management of peritoneal carcinosis: diagnosis, prevention and treatment. Langenbecks Arch Chir 1988;373:189-96. DOI: https://doi.org/10.1007/BF01274232
Abadie M. Prise en charge palliative des occlusions intestinales sur carcinose péritonéale [Palliative care of bowel obstruction with peritoneal cancer]. Rev Infirm 2013;194:38-9. French. DOI: https://doi.org/10.1016/j.revinf.2013.07.007
Krouse RS. Malignant bowel obstruction. J Surg Oncol 2019;120:74-77. DOI: https://doi.org/10.1002/jso.25451
Shariff F, Bogach J, Guidolin K, Nadler A. Malignant Bowel Obstruction Management Over Time: Are We Doing Anything New? A Current Narrative Review. Ann Surg Oncol 2022;29:1995-2005. DOI: https://doi.org/10.1245/s10434-021-10922-1
Paul Olson TJ, Pinkerton C, Brasel KJ, Schwarze ML. Palliative surgery for malignant bowel obstruction from carcinomatosis: a systematic review. JAMA Surg 2014;149:383-92. DOI: https://doi.org/10.1001/jamasurg.2013.4059
Demarest K, Lavu H, Collins E, Batra V. Comprehensive Diagnosis and Management of Malignant Bowel Obstruction: A Review. J Pain Palliat Care Pharmacother 2023;37:91-105. DOI: https://doi.org/10.1080/15360288.2022.2106012
Akbaş A, Daldal E, Daşıran F, et al. Does a selective surgical approach to malignant bowel obstruction help in palliative care patients? Ulus Travma Acil Cerrahi Derg 2020;26:875-882.
Banting SP, Waters PS, Peacock O, et al. Management of primary and metastatic malignant small bowel obstruction, operate or palliate. A systematic review. ANZ J Surg 2021;91:282-290. DOI: https://doi.org/10.1111/ans.16188
de Boer NL, Hagemans JAW, Schultze BTA, et al. Acute malignant obstruction in patients with peritoneal carcinomatosis: The role of palliative surgery. Eur J Surg Oncol 2019;45:389-393. DOI: https://doi.org/10.1016/j.ejso.2018.12.015
How to Cite
Current need for guidelines in emergency surgery in peritoneal carcinomatosis. (2025). Advances in Anesthesia and Pain Medicine, 1(1). https://doi.org/10.4081/amsa.2023.27
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