Reviews
2 October 2023
Vol. 1 No. 1 (2023)
https://doi.org/10.4081/amsa.2023.27

Current need for guidelines in emergency surgery in peritoneal carcinomatosis

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Peritoneal carcinomatosis, emergency surgery, oncologic surgery, intestinal obstruction
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Authors

Melissa Nardecchia
melissanardecchia@hotmail.com
General, Emergency and Trauma Surgery Department, Bufalini Hospital, Cesena, Italy.
Carlo Vallicelli
General, Emergency and Trauma Surgery Department, Bufalini Hospital, Cesena, Italy.
Mauro Stefano
General, Emergency and Trauma Surgery Department, Bufalini Hospital, Cesena, Italy.
Vanni Agnoletti
Anesthesia, Intensive Care and Trauma Department, Bufalini Hospital, Cesena, Italy.
Luca Ansaloni
General Emergency and Trauma Surgery Departement, IRCC Policlinico San Matteo, Pavia, Italy.
Paola Fugazzola
General Emergency and Trauma Surgery Departement, IRCC Policlinico San Matteo, Pavia, Italy.
Federico Coccolini
General, Emergency and Trauma Surgery Department, Univesity Hospital of Pisa, Pisa, Italy.
Marco Vaira
Oncologic Surgery Department, FPO-IRCCS of Candiolo, Torino, Italy.
Massimo Sartelli
Department of General and Emergency Surgery, Macerata Hospital, Macerata, Italy.
Fausto Catena
General, Emergency and Trauma Surgery Department, Bufalini Hospital, Cesena, Italy.

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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Current need for guidelines in emergency surgery in peritoneal carcinomatosis. (2023). Advances in Anesthesia and Pain Medicine, 1(1). https://doi.org/10.4081/amsa.2023.27
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