PALLIATIVE SURGERY FOR INTESTINAL OBSTRUCTION DUE TO RECURRENT OVARIAN CANCER

Authors

  • Zahida Parveen
  • Ahmad Nadeem Qureshi
  • Mohammad Akbar
  • Arshad Zafar
  • Aqeel Subhani

Abstract

Background: Intestinal Obstruction is a frequent complication after operation for Ovarian Cancer. This
study was done to see the outcome of palliative surgery for Intestinal Obstruction due to recurrent
ovarian Cancer. Methods: We retrospectively evaluated the records of all the patients who presented
with intestinal obstruction after operations for Ovarian Cancer in all the three Surgical Units of Ayub
Teaching Hospital Abbottabad from March 1998 to April, 2009. Demographic data, type of
management, morbidity, mortality, hospital stay, surgical procedure, symptomatic relief, return of
bowel function and outcome were analyzed. Results: There were 56 patients with symptoms of partial
or complete intestinal obstruction. Conservative treatment was successful in 22 (39%) patients.
Laparotomy was done in 30 (53.5%) patients. The cause of intestinal obstruction was adhesions 8
(26.6%), local recurrence 10 (33.3%) and diffuse carcinomatosis in 12 (40%) patients. Palliative
surgery was done in 20 (66.6%) patients while 8 (26.6%) had adhesionolysis only. 9 (30%) patients had
resection and anastomosis, 7 (23.3%) had bypass surgery, 3 (10%) had colostomy and one (3%) had
Hartmann procedure. Postoperative complications occurred in 26 (86.6%) patients. 12 (40 %) patients
died after surgery. Mean hospital stay was 18 (9-42) days. Palliative surgery was successful in 8
(26.65%). Conclusions: Majority of patients with Intestinal obstruction after operation for Ovarian
Cancer can be managed conservatively. Palliative surgery is associated with high mortality and
morbidity but it should be done in patients not responding to conservative measures.
Keywords: Ovarian cancer, Intestinal Obstruction, Laparotomy

References

Ripamonti C, Bruera E. Palliative management of malignant

bowel obstruction. Int J Gynecol Cancer 2002;12:135-43.

Mangili G, Aletti G, Frigerio L, Panacci N, Vigano R, De

Marzi P, et al. Palliative care for intestinal obstruction in

recurrent ovarian cancer: a multivariate analysis. Int J Gynecol

Cancer 2005;15:830-5.

Jong P, Sturgeon J, Jamieson CG. Benefit of palliative surgery

for bowel obstruction in advanced ovarian cancer. Can J Surg

;38:454-7.

Soo KC, Davidson T, Parker M, Paterson I, Paterson A. Intestinal

obstruction in patients with gynaecological malignancies. Ann

Acad Med Singapore 1988;17:72-5.

Zoetmulder FA, Helmerhorst TJ, van Coevorden F, Wolfs PE,

Lever JP, Hart AA. Management of bowel obstruction in patients

with advanced ovarian cancer. Eur J Cancer 1994;30:1625-8.

Baines MJ. Management of intestinal obstruction in patients with

advanced cancer. Gynecol Oncol 2002;84:176-9.

Pothuri B, Meyer L, Gerardi M, Barakat RR, Chi DS. Reoperation

for palliation of recurrent malignant bowel obstruction in ovarian

carcinoma. Gynecol Oncol 2004;95:193-5.

Caprotti R, Bonardi C, Crippa S, Angelina C, Uggeri F. Palliative

surgery for recurrent bowel obstruction due to advanced ovarian

cancer. Inerva Ginecol 2006;58:239-44.

Caceres A, Zhou Q, Iasonos A, Gerdes H, Chi DS, Barakat RR.

Colorectal stents for palliation of large-bowel obstructions in

recurrent gynecologic cancer: an updated series. Gynecol Oncol

;108;482-5.

Carter J, Valmadre S, Dalrymple C, Atkinson K, Young C.

Management of large bowel obstruction in advanced ovarian

cancer with intraluminal stents. Gynecol Oncol 2002;84:176-9.

Published

2008-03-01

How to Cite

Parveen, Z., Qureshi, A. N., Akbar, M., Zafar, A., & Subhani, A. (2008). PALLIATIVE SURGERY FOR INTESTINAL OBSTRUCTION DUE TO RECURRENT OVARIAN CANCER. Journal of Ayub Medical College Abbottabad, 21(1), 135–136. Retrieved from https://jamc.ayubmed.edu.pk/index.php/jamc/article/view/3801

Issue

Vol. 21 No. 1 (2009): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

Section

ORIGINAL ARTICLE

License

Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License  CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.

USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.

AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.