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Guidelines of the Brazilian Society of Oncologic Surgery for malignant bowel obstruction management.
Malignant bowel obstruction is a frequent complication in advanced cancer patients, especially in those with abdominal tumors. Clinical management of malignant bowel obstruction requires a specific and individualized approach that is based on disease prognosis and the objectives of care. Surgery should always be considered for patients in the initial stages of the disease with a preserved general status and a single level of occlusion. Less invasive approaches such as endoscopyc treatments should be considered when surgery is contraindicated in obstructions at the single level. The priority of care for inoperable and consolidated MBO is to control symptoms and promote the maximum level of comfort possible.
This study aimed to develop recommendations for the best management of patients malignant bowel obstruction.
A questionnaire was administered to all members of the Brazilian Society of Surgical Oncology. Of them, 50 surgeons participated in the study and were divided into 10 working groups. A literature review of studies retrieved from the National Library of Medicine database was carried out on topics chosen by the participants. These topics addressed questions regarding the malignant bowel obstruction management. To define the level of evidence and strength of each recommendation, an adapted version of the Infectious Diseases Society of America Health Service rating system was used.
Most conducts and management strategies reviewed were strongly recommended by the participants.
Guidelines outlining strategies for malignant bowel obstruction management were developed and based on the best evidence available in the literature.
malignant bowel obstruction, cancer, intestinal obstruction
Outros e Miscelânia*
CLÁUDIA NAYLOR LISBOA, GUSTAVO ANDREAZZA LAPORTE, JÚNEA CARIS OLIVEIRA , AUDREY CABRAL, TERESA REIS, BRUNO DE ÁVILA VIDIGAL , MANOEL JESUS PINHEIRO COELHO JR, RENATO MORATO ZANATTO