Does a selective surgical approach to malignant bowel obstruction help in palliative care patients?
Yazarlar (6)
Ahmet Akbaş Türkiye
Doç. Dr. Emin Daldal Türkiye
Doç. Dr. Mehmet Fatih DAŞIRAN Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Hüseyin Bakır Türkiye
Hasan Dagmura
Türkiye
Türkiye
Prof. Dr. İsmail Okan Türkiye
| Makale Türü |
Özgün Makale
(SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale)
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| Dergi Adı | Ulusal Travma ve Acil Cerrahi Dergisi (Q4) | ||
| Dergi ISSN | 1306-696X Wos Dergi Scopus Dergi | ||
| Dergi Tarandığı Indeksler | SCI-Expanded | ||
| Makale Dili | İngilizce | Basım Tarihi | 11-2020 |
| Cilt / Sayı / Sayfa | 26 / 6 / 875–882 | DOI | 10.14744/tjtes.2020.90250 |
| Makale Linki | https://3b7c63a7c7200e1052662523391e2b9a696075bb.vetisonline.com/full_record.do?product=WOS&search_mode=GeneralSearch&qid=1&SID=C5Mj8lCsSHuQyxMcmyD&page=1&doc=1 | ||
| UAK Araştırma Alanları |
Genel Cerrahi
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| Özet |
| 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< 0.001) and higher complication rates (27.1% vs. 3.5%) compared to medically treated patients; the restoring oral food intake was better (97.9% vs. 78.6%)(p= 0.005) and the survival was longer (105 days vs. 43 days).CONCLUSION: This study revealed that surgical treatment resulted in better outcomes for life quality parameters in highly selected patients with malignant bowel obstruction evaluated by multidisciplinary team, including palliative care. |
| Anahtar Kelimeler |
BM Sürdürülebilir Kalkınma Amaçları
| Atıf Sayıları | |
| Google Scholar | 6 |