Abstract
Patients with recurrent intraabdominal cancer who developed intestinal obstruction some time after primary surgery present the surgeon with a special challenge. It is well known that the cause of obstruction can be benign in about 18–32 percent of patients and usually is related to an adhesive process within the abdomen or pelvis [1–4]. Unfortunately the intestinal obstruction is due to an intraabdominal spread of the cancer in a majority of cases. Recurrence with obstruction as a consequence of progressive intraabdominal malignancy is associated with a poor prognosis, and some reports estimate the median survival after palliative surgery to be between 1 and 6.5 months. None of these patients survived 1–1.5 years [4–7]. Because of these disappointing results, minimally aggressive surgery with a palliative approach is advocated by many authors. Intestinal decompression by gastrostomy, jejunostomy, or ileostomy are thought to be the procedures of choice [6,8,9].
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© 1996 Kluwer Academic Publishers, Boston
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Averbach, A.M., Sugarbaker, P.H. (1996). Recurrent intraabdominal cancer causing intestinal obstruction: Washington Hospital Center experience with 42 patients managed by surgery and intraperitoneal chemotherapy. In: Sugarbaker, P.H. (eds) Peritoneal Carcinomatosis: Drugs and Diseases. Cancer Treatment and Research, vol 81. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1245-1_12
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DOI: https://doi.org/10.1007/978-1-4613-1245-1_12
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