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Surgery pp 2117-2122 | Cite as

Surgical Emergencies in the Cancer Patient

  • Jeffrey J. Sussman

Abstract

Emergency care is needed in cancer patients under a variety of circumstances. These interventions can be divided into medical and surgical emergencies, and further subdivided into those related to the cancer diagnosis or cancer therapy and those unrelated to the cancer and only occurring incidentally in the cancer patient. Although it is tempting to always connect the new surgical problem to a cancer recurrence, in many instances the new problem is unrelated and the cancer diagnosis is of no consequence. Those surgical emergencies not related to a cancer diagnosis are not discussed in detail within this chapter and are covered elsewhere in this volume. Nongeneral surgical emergencies in the cancer patient are listed in Table 101.1.

Keywords

Small Bowel Obstruction Small Bowel Loop Jejunostomy Tube Celiac Plexus Block Neutropenic Enterocolitis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Segalin A, Bonavina L, Carazzone A, et al. Improving results of esophageal stenting: a study on 160 consecutive unselected patients. Endoscopy 1997;29:701–709.PubMedCrossRefGoogle Scholar
  2. 2.
    Siersema PD, Hop WC, Dees J, et al. Coated self-expanding metal stents versus latex prostheses for esophagogastric cancer with special reference to prior radiation and chemotherapy: a controlled, prospective study. Gastrointest Endosc 1998;47:113–120.PubMedCrossRefGoogle Scholar
  3. 3.
    De Palma GD, di Matteo E, Romano G, et al. Plastic prosthesis versus expandable metal stents for palliation of inoperable esophageal thoracic carcinoma: a controlled prospective study. Gastrointest Endosc 1996,43:478–482.PubMedCrossRefGoogle Scholar
  4. 4.
    Adam A, Ellul J, Watkinson AF, et al. Palliation of inoper-able esophageal carcinoma: a prospective randomized trial of laser therapy and stent placement. Radiology 1997;202:344–348.PubMedGoogle Scholar
  5. 5.
    Feuer DJ, Broadley KE, Shepherd JH, et al. Systematic review of surgery in malignant bowel obstruction in advanced gynecological and gastrointestinal cancer. The Systematic Review Steering Committee. Gynecol Oncol 1999;75:313–322.PubMedCrossRefGoogle Scholar
  6. 6.
    Verwaal VJ, van Ruth S, de Bree E, et al. Randomized trial of cytoreduction and hyperthermic intraperitoneal chemotherapy versus systemic chemotherapy and palliative surgery in patients with peritoneal carcinomatosis of colorectal cancer. J Clin Oncol 2003;21:3737–3743.PubMedCrossRefGoogle Scholar
  7. 7.
    Glehen O, Kwiatkowski F, Sugarbaker PH, et al. Cytoreductive surgery combined with perioperative intraperitoneal chemotherapy for the management of peritoneal carcinomatosis from colorectal cancer: a multi-institutional study. J Clin Oncol 2004;22:3284–3292.PubMedCrossRefGoogle Scholar
  8. 8.
    Lillemoe KD, Cameron JL, Hardacre JM, et al. Is prophylactic gastrojejunostomy indicated for unresectable periampullary cancer? A prospective randomized trial. Ann Surg 1999;230:322–328; discussion 328–330.PubMedCrossRefGoogle Scholar
  9. 9.
    Ponec RJ, Saunders MD, Kimmey MB. Neostigmine for the treatment of acute colonic pseudo-obstruction. N Engl J Med 1999;341:137–141.PubMedCrossRefGoogle Scholar
  10. 10.
    Tamim WZ, Ghellai A, Counihan TC, et al. Experience with endoluminal colonic wall stents for the management of large bowel obstruction for benign and malignant disease. Arch Surg 2000;135:434–438.PubMedCrossRefGoogle Scholar
  11. 11.
    Gouma DJ, van Geenen R, van Gulik T, et al. Surgical palliative treatment in bilio-pancreatic malignancy. Ann Oncol 1999;10(suppl 4):269–272.PubMedCrossRefGoogle Scholar
  12. 12.
    Chen HS, Sheen-Chen SM. Obstruction and perforation in colorectal adenocarcinoma: an analysis of prognosis and current trends. Surgery (St. Louis) 2000;127:370–376.PubMedCrossRefGoogle Scholar
  13. 13.
    Smothers L, Hynan L, Fleming J, et al. Emergency surgery for colon carcinoma. Dis Colon Rectum 2003;46:24–30.PubMedCrossRefGoogle Scholar
  14. 14.
    Lillemoe KD, Cameron JL, Kaufman HS, et al. Chemical splanchnicectomy in patients with unresectable pancreatic cancer. A prospective randomized trial. Ann Surg 1993;217:447–455; discussion 456–457.PubMedCrossRefGoogle Scholar
  15. 15.
    Mercadante S. Celiac plexus block versus analgesics in pancreatic cancer pain. Pain 1993;52:187–192.PubMedCrossRefGoogle Scholar
  16. 16.
    Kawamata M, Ishitani K, Ishikawa K, et al. Comparison between celiac plexus block and morphine treatment on quality of life in patients with pancreatic cancer pain. Pain 1996;64:597–602.PubMedCrossRefGoogle Scholar
  17. 17.
    Polati E, Finco G, Gottin L, et al. Prospective randomized double-blind trial of neurolytic coeliac plexus block in patients with pancreatic cancer. Br J Surg 1998;85:199–201.PubMedCrossRefGoogle Scholar
  18. 18.
    Bavaro MF. Neutropenic enterocolitis. Curr Gastroenterol Rep 2002;4:297–301.PubMedCrossRefGoogle Scholar
  19. 19.
    Moir CR, Scudamore CH, Benny WB. Typhlitis: selective surgical management. Am J Surg 1986;151:563–566.PubMedCrossRefGoogle Scholar
  20. 20.
    Keidan RD, Fanning J, Gatenby RA, et al. Recurrent typhlitis. A disease resulting from aggressive chemotherapy. Dis Colon Rectum 1989;32:206–209.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Jeffrey J. Sussman
    • 1
  1. 1.Department of SurgeryUniversity of Cincinnati/VAMC CincinnatiCincinnatiUSA

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