Surgical management of bowel obstruction in gynaecological cancer TOG 2017 Flashcards
1
Q
Which gynaecological cancer is most associated with bowel obstruction?
A
Ovarian cancer (epithelial)
50% develop bowel obstruction
2
Q
5 yeah survival or ovarian cancer
A
20-30%
Most present late at stage III-IV
3
Q
Main cause of death with epithelial ovarian cancer?
A
Obstruction
4
Q
Is proximal bowel obstruction will there be abdominal distention?
A
No
5
Q
Diagnosis of bowel obstruction
A
6
Q
Management of bowel obstruction
A
7
Q
Which antiemetic should be avoided?
A
Metoclopramide
8
Q
Which laxatives should be avoided?
A
Stimulants (Senna)
Give stool softer - docusate
9
Q
30 day mortality surgically treated and not surgical treated
A
Surgical 13%
Non surgical 20%
High surgical morbidity 50%
10
Q
Median post-op survival
A
3-7 months
