Skip to main content

Surgical Emergencies in Cancer Patients

  • Chapter
What’s New in Surgical Oncology

Abstract

The debut of a previously unknown abdominal malignancy as an intestinal obstruction is a common event in each surgical practice. Similarly, surgeons are asked to evaluate possible surgical options for the treatment of malignant bowel obstructions (MBOs) secondary to known abdominal secondary localizations or to peritoneal carcinosis: this can be one of the most challenging aspects of advanced cancer care. The main cause might be due to obstruction at various levels: proximal or distal small bowel, right or left colon, or the rectum.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Mercadante S (2009) Intestinal dysfunction and obstruction. In: Walsh D (ed) Palliative Medicine. Saunders/Elsevier, Philadelphia, pp 1267–1275

    Chapter  Google Scholar 

  2. Ripamonti C, Twycross R, Baines M et al (2001) Working Group of the European Association for Palliative Care. Clinical-practice recommendations for the management of bowel obstruction in patients with end-stage cancer. Support Care Cancer 9: 223–233

    Article  PubMed  CAS  Google Scholar 

  3. Baron TH (2009) Interventional palliative strategies for malignant bowel obstruction. Curr Oncol Rep 11: 293–297

    Article  PubMed  Google Scholar 

  4. Helyer L, Easson AM (2008) Surgical approaches to malignant bowel obstruction. J Support Oncol 6: 105–13

    PubMed  Google Scholar 

  5. Maglinte DD, Howard TJ, Lillemoe KD, Sandrasegaran K Rex DK (2008) Small-bowel obstruction: state-of-the-art imaging and its role in clinical management. Clin Gastroenterol Hepatol 6: 130–139

    Article  PubMed  Google Scholar 

  6. Abbas S, Bissett IP, Parry BR (2007) Oral water soluble contrast for the management of adhesive small bowel obstruction. Cochrane Database Syst Rev CD004651

    Google Scholar 

  7. Krouse RS. McCahill L, Easson AM, Dunn GP (2002) When the sun can set on an unoperated bowel obstruction: management of malignant bowel obstruction. J Am Coll Surg 195: 117–28

    Article  PubMed  Google Scholar 

  8. Report of the National Confidential Enquiry into Perioperative Deaths 1996/1997. NCEPOD

    Google Scholar 

  9. Cirocchi R, Trastulli S, Abraha I et al (2012) Non-resection versus resection for an asymptomatic primary tumour in patients with unresectable stage IV colorectal cancer. Cochrane Database Syst Rev 15:CD008997

    Google Scholar 

  10. Higashi H, Shida H, Ban K et al (2003) Factors affecting successful palliative surgery for malignant bowel obstruction due to peritoneal dissemination from colorectal cancer. Jpn J Clin Oncol 33: 357–9

    Article  PubMed  Google Scholar 

  11. Hoda D, Jatoi A, Burnes J, Loprinzi C, Kelly D (2005). Should patients with advanced, incurable cancers ever be sent home with total parenteral nutrition? A single institution’s 20-year experience. Cancer 103: 863–868

    Article  PubMed  Google Scholar 

  12. Doyle C, Crump M, Pinitilie M, Pza AM (2001)Does palliative chemotherapy palliate? Evaluation of expectations, outcomes, and costs in women receiving chemotherapy for advanced ovarian cancer. J Clin Oncol 19: 1266–1274

    PubMed  CAS  Google Scholar 

  13. Soriano A, Davis MP (2011) Malignant bowel obstruction: individualized treatment near the end of life. Cleveland Clin J Med 78(3): 197–206

    Article  Google Scholar 

  14. Turner J, Cummin T, Bennett A, Swift G, Green J (2008) Stents and stentability: treatment for malignant bowel obstruction. Br J Hosp Med (Lond) 69: 676–680

    Google Scholar 

  15. Cheung HY, Chung CC, Tsang WW et al (2009) Endolaparoscopic approach vs conventional open surgery in the treatment of obstructing left-sided colon cancer: a randomized controlled trial. Arch Surg 144: 1127–32

    Article  PubMed  Google Scholar 

  16. Averbach AM, Sugarbaker PH (1995) Recurrent intraabdominal cancer with intestinal obstruction. Internat Surg 80: 141–146

    CAS  Google Scholar 

  17. Valle M, Federici O, Garofalo A (2012) Patient selection for cytoreductive surgery and hyperthermic intraperitoneal chemotherapy, and role of laparoscopy in diagnosis, staging, and treatment. Surg Oncol Clin N Am 21: 515–31

    Article  PubMed  Google Scholar 

  18. Chen FM, Yin TC, Fan WC et al (2012)Laparoscopic management for acute malignant colonic obstruction. Surg Laparosc Endosc Percutan Tech 22: 210–4

    Article  PubMed  Google Scholar 

  19. Agresta F, Ansaloni L, Baiocchi GL et al (2012) Laparoscopic approach to acute abdomen from the Consensus Development Conference of the SICE, ACOI, SIC, SICUT, SICOP, EAES. Surg Endosc 26: 2134–64

    Article  PubMed  Google Scholar 

  20. Periera J, Phan T (2004) Management of bleeding in patients with advanced cancer. Oncologist 9: 561–570

    Article  Google Scholar 

  21. Wee E (2011) Management of nonvariceal upper gastrointestinal bleeding. J Postgrad Med 57: 161–7

    Article  PubMed  CAS  Google Scholar 

  22. Wu JC, Sung JJ (2011) Pharmacologic therapy for nonvariceal upper gastrointestinal bleeding. Gastrointest Endosc Clin N Am 21: 671–9

    Article  PubMed  Google Scholar 

  23. D’Amico G, Pagliaro L, Pietrosi G, Tarantino I (2010) Emergency sclerotherapy versus vasoactive drugs for bleeding oesophageal varices in cirrhotic patients. Cochrane Database Syst Rev 17:CD002233

    Google Scholar 

  24. Chung IK (2012) How can we maximize skills for non-variceal upper gastrointestinal bleeding: injection, clipping, burning, or others? Clin Endosc 45(3): 230–4

    Article  PubMed  Google Scholar 

  25. Jairath V, Kahan BC, Logan RF et al (2012) National audit of the use of surgery and radiological embolization after failed endoscopic haemostasis for non-variceal upper gastrointestinal bleeding. Br J Surg 99(12): 1672–80

    Article  PubMed  CAS  Google Scholar 

  26. Lee HJ, Park do J, Yang HK, Lee KU, Choe KJ (2006) Outcome after emergency surgery in gastric cancer patients with free perforation or severe bleeding. Dig Surg 23: 217–23

    Article  PubMed  Google Scholar 

  27. Hreinsson JP, Gumundsson S, Kalaitzakis E, Björnsson ES (2013) Lower gastrointestinal bleeding: incidence, etiology, and outcomes in a population-based setting. Eur J Gastroenterol Hepatol 25: 37–43

    Article  PubMed  Google Scholar 

  28. Strate LL, Naumann CR (2010) The role of colonoscopy and radiological procedures in the management of acute lower intestinal bleeding. Clin Gastroenterol Hepatol 8(4): 333–343

    Article  PubMed  Google Scholar 

  29. Currie GM, Kiat H, Wheat JM (2011) Scintigraphic evaluation of acute lower gastrointestinal hemorrhage: current status and future directions. J Clin Gastroenterol 45(2): 92–99

    Article  PubMed  Google Scholar 

  30. Geffroy Y, Rodallec MH, Boulay-Coletta I et al (2011)Multidetector CT angiography in acute gastrointestinal bleeding: why, when, and how. Radiographics 31(3): 35–46

    Article  Google Scholar 

  31. Millward SF (2008) ACR Appropriateness Criteria on treatment of acute non variceal gastrointestinal tract bleeding. J Am Coll Radiol 5: 550–554

    Article  PubMed  Google Scholar 

  32. Czymek R. Kempf A. Roblick UJ et al (2008) Surgical treatment concepts for acute lower gastrointestinal bleeding. J Gastrointest Surg 12(12): 2212–20

    Article  PubMed  Google Scholar 

  33. Shih CH, Yu MC, Chao TC et al (2010) Outcome of perforated gastric cancer: twenty years experience of one institute. Hepatogastroenterology. 57: 1320–4

    PubMed  Google Scholar 

  34. Anwar MA, D’Souza F, Coulter R et al (2006) Outcome of acutely perforated colorectal cancers: experience of a single district general hospital. Surg Oncol 15: 91–96

    Article  PubMed  Google Scholar 

  35. Tan KK, Bang SL, Ho CK (2012) Surgery for perforated small bowel malignancy: a single institution’s experience over 4 years. Surgeon 10: 6–8

    Article  PubMed  Google Scholar 

  36. Abdelrazeq AS, Scott N, Thorn C et al (2008) The impact of spontaneous tumour perforation on outcome following colon cancer surgery. Colorectal Dis 10: 775–80

    Article  PubMed  CAS  Google Scholar 

  37. Zielinski MD, Merchea A, Heller SF, You YN (2011) Emergency management of perforated colon cancers: how aggressive should we be? J Gastrointest Surg 15: 2232–2238

    Article  PubMed  Google Scholar 

  38. Khan S, Pawlak SE, Eggenberger JC et al (2011) Acute colonic perforation associated with colorectal cancer. Am Surg 67: 261–4

    Google Scholar 

  39. Tan KK, Hong CC, Zhang J et al (2010) Surgery for perforated colorectal malignancy in an Asian population: an institution’s experience over 5 years. Int J Colorectal Dis 25(8): 989–95

    Article  PubMed  Google Scholar 

  40. Jwo SC, Chien RN, Chao TC et al (2005) Clinicopathological features, surgical management, and disease outcome of perforated gastric cancer. J Surg Oncol 91: 219–25

    Article  PubMed  Google Scholar 

  41. Kotan C, Sumer A, Baser M et al (2008) An analysis of 13 patients with perforated gastric carcinoma: A surgeon’s nightmare? World J Emerg Surg 10: 3–17

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ferdinando Agresta .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer-Verlag Italia

About this chapter

Cite this chapter

Agresta, F., Vettoretto, N., Baiocchi, G.L., Campanile, F.C. (2013). Surgical Emergencies in Cancer Patients. In: Valeri, A., Bergamini, C., Agresta, F., Martellucci, J. (eds) What’s New in Surgical Oncology. Springer, Milano. https://doi.org/10.1007/978-88-470-5310-6_16

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-5310-6_16

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-5309-0

  • Online ISBN: 978-88-470-5310-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics