Outcomes following small bowel obstruction due to malignancy in the national audit of small bowel obstruction.

European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
National Audit of Small Bowel Obstruction Steering Group & National Audit of Small Bowel Obstruction Collaborators

Abstract

Patients with cancer who develop small bowel obstruction are at high risk of malnutrition and morbidity following compromise of gastrointestinal tract continuity. This study aimed to characterise current management and outcomes following malignant small bowel obstruction. A prospective, multicentre cohort study of patients with small bowel obstruction who presented to UK hospitals between 16th January and 13th March 2017. Patients who presented with small bowel obstruction due to primary tumours of the intestine (excluding left-sided colonic tumours) or disseminated intra-abdominal malignancy were included. Outcomes included 30-day mortality and in-hospital complications. Cox-proportional hazards models were used to generate adjusted effects estimates, which are presented as hazard ratios (HR) alongside the corresponding 95% confidence interval (95% CI). The threshold for statistical significance was set at the level of P ≤ 0.05 a-priori. 205 patients with malignant small bowel obstruction presented to emergency surgery services during the study period. Of these patients, 50 had obstruction due to right sided colon cancer, 143 due to disseminated intraabdominal malignancy, 10 had primary tumours of the small bowel and 2 patient...Continue Reading

Citations

May 16, 2019·Veterinary World·Obianuju Nkiruka OkoraforRita Ijeoma Udegbunam
Jun 1, 2021·Surgical Oncology Clinics of North America·Cassandra S Parker, Thomas J Miner
Jul 6, 2021·Trauma Surgery & Acute Care Open·Josh BleicherAlexander Colonna
Aug 27, 2021·Annals of the Royal College of Surgeons of England·L D CatoS T Ward

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