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Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2020 / Cilt: 26 - Sayı: 6

Does a selective surgical approach to malignant bowelobstruction help in palliative care patients?

Palyatif bakım hastalarında görülen malign bağırsak obstrüksiyonlarındaselektif cerrahi yaklaşım fayda sağlıyor mu?

Hüseyin BAKIR
Ahmet AKBAŞ
Emin DALDAL
Fatih DAŞIRAN
İsmail OKAN
Hasan DAĞMURA
Pages
875–882
Publication Date
2022-11-06
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Although the patients with surgery had longer duration of stay in the hospital (median 16 days vs. 4 days) (p

📌 3 Key Takeaways

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Objective & Hypothesis:BACKGROUND: Malignant bowel obstruction (MBO) is a condition secondary to intra-abdominal metastatic spread of advanced-stage tumors.
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Key Findings & Data:This study aims to present the results of medical treatment and palliative surgery in patients diagnosed with MBO.METHODS: The patients who were treated for advanced-stage tumors between 2010 and 2017 and for whom consultation was requested from the surgical clinic for MBO symptoms were identified.
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Conclusion & Impact:Although the patients with surgery had longer duration of stay in the hospital (median 16 days vs. 4 days) (p
🔬Design:Research Article
📍Scope:2010 Verileri
⚙️Variables:Domain Parameters

Abstract

BACKGROUND: Malignant bowel obstruction (MBO) is a condition secondary to intra-abdominal metastatic spread of advanced-stage tumors. There is no consensus for the treatment approach of MBO. This study aims to present the results of medical treatment and palliative surgery in patients diagnosed with MBO.METHODS: The patients who were treated for advanced-stage tumors between 2010 and 2017 and for whom consultation was requested from the surgical clinic for MBO symptoms were identified. A selective approach together with palliative care for the indication of surgery was instituted. The patients with surgical treatment and medical treatment were compared concerning survival, oral food intake and symptom relief.RESULTS: Seventy-six patients (30 female, 46 male) aged 60.5±12.8 years (range: 27–88) were included in this study. Forty-eight of the patients (64.9%) underwent surgical treatment, while 28 (35.1%) had medical treatment. Although the patients with surgery had longer duration of stay in the hospital (median 16 days vs. 4 days) (p

Özet

AMAÇ: Malign bağırsak obstrüksiyonu (MBO) ileri evre tümörlerin karıniçi metastatik yayılımına sekonder oluşan bir durumdur. Tedavi yaklaşımında hekimler arasında tam bir konsensüs yoktur. Bu yazıda, MBO tanısı konulan hastalarda tıbbi tedavi ile palyatif cerrahi tedavi uygulanmış olan hastaların karşılaştırmalı sonuçlarını değerlendirerek hekimlerin dikkatine sunmayı amaçladık.GEREÇ VE YÖNTEM: 2010–2017 yılları arasında kanser tanısı ile tedavi gören ve cerrahi kliniğinden MBO semptomları nedeniyle konsültasyon istenen hastalar belirlenerek kaydedildi. Küratif amaçla ameliyat yapılan hastalar ile kliniğe konsülte edilen hastalardan obstrüksiyon semptomları olmayan hastalar çalışmadan çıkarıldı. Çalışmaya dahil edilen hastalara uygulanmış olan tedaviye göre cerrahi veya tıbbi tedavi olarak ikiye ayrıldı. Cerrahi tedavi gören ve tıbbi tedavi gören hastalar sağ kalım, oral gıda alımı ve semptomların düzelmesi açısından karşılaştırıldı.BULGULAR: Çalışmaya yaşları 60.5±12.8 (27–88) olan 76 (30 kadın, 46 erkek) hasta alındı. Kırk sekiz (%64.9) hastaya cerrahi tedavi uygulanırken 28 (%35.1) hastaya tıbbi tedavi uygulandı. Cerrahı tedavi uygulanan hastalar ile tıbbi tedavi uygulanan hastaların yapılan istatistiksel karşılaştırmasında cerrahi tedavi uygulanan hastaların hastanede yatış süresi uzun (median 16 güne karşılık 4 gün; p

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Cite This Article

BAKIR, H., AKBAŞ, A., DALDAL, E., DAŞIRAN, F., OKAN, İ., DAĞMURA, H. (2022). Does a selective surgical approach to malignant bowelobstruction help in palliative care patients?. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 26 - Sayı: 6, 875–882. https://ajindex.com/articles/644178

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