在进展期恶性肿瘤背景下的非肿瘤性肠梗阻

doi:0.16689/j.cnki.cn11-9349/r.2019.03.018

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Abstract Objective Malignant intestinal obstruction is a common complication of patients with advanced malignant tumors. Malignant intestinal obstruction was previously considered to be a terminal event. Previous studies have shown that the treatment of patients with malignant intestinal obstruction should be treated with end-stage care， focusing on individualized palliative care. Methods Two patients with non-maligment bowel obstruction in the context of advanced cancer were previously suffering from abdominal malignant tumors， both of which were gastric malignant tumors. The patient developed intestinal obstruction about 1 year after the standard treatment of the tumor， and the clinical manifestations were clear. One patient had recurrent symptoms between incomplete intestinal obstruction and complete intestinal obstruction for 3 months. One patient showed a complete intestinal obstruction with sudden onset. Both patients benefited from surgery-centered treatment， leading to improved quality of life， obtaining further treatment opportunities， and prolonged survival. Results The treatment of malignant bowel obstruction requires multidisciplinary collaboration. Its overall prognosis is poor. The two patients got benefit through surgery. From these two cases we learned that accurate preoperative assessment and improved perioperative treatment will give patients more opportunities. Conclusion Doctors should not give up attempts to relieve obstruction of individual patients because of the poor overall prognosis of malignant intestinal obstruction. Through reasonable evaluation， standardized treatment， and active surgical exploration， patients can obtain good quality of life and continue palliative treatment opportunities.

Key words： Intestinal obstruction Advanced cancer Surgery

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	ZHANG Xiao-wei
	SHI Han-ping

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ZHANG Xiao-wei,SHI Han-ping. Non-maligment bowel obstruction in the context of advanced cancer[J]. Electron J Metab Nutr Cancer, 2019, 6(3): 361-364.

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http://182.92.200.144/EN/0.16689/j.cnki.cn11-9349/r.2019.03.018 OR http://182.92.200.144/EN/Y2019/V6/I3/361

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