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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Outcomes following small bowel obstruction due to malignancy in the national audit of small bowel obstruction
European Journal of Surgical Oncology, Volume 45, No. 12, Year 2019
Notification
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Description
Introduction: Patients with cancer who develop small bowel obstruction are at high risk of malnutrition and morbidity following compromise of gastrointestinal tract continuity. This study aimed to characterise current management and outcomes following malignant small bowel obstruction. Methods: A prospective, multicentre cohort study of patients with small bowel obstruction who presented to UK hospitals between 16th January and 13th March 2017. Patients who presented with small bowel obstruction due to primary tumours of the intestine (excluding left-sided colonic tumours) or disseminated intra-abdominal malignancy were included. Outcomes included 30-day mortality and in-hospital complications. Cox-proportional hazards models were used to generate adjusted effects estimates, which are presented as hazard ratios (HR) alongside the corresponding 95% confidence interval (95% CI). The threshold for statistical significance was set at the level of P ≤ 0.05 a-priori. Results: 205 patients with malignant small bowel obstruction presented to emergency surgery services during the study period. Of these patients, 50 had obstruction due to right sided colon cancer, 143 due to disseminated intraabdominal malignancy, 10 had primary tumours of the small bowel and 2 patients had gastrointestinal stromal tumours. In total 100 out of 205 patients underwent a surgical intervention for obstruction. 30-day in-hospital mortality rate was 11.3% for those with primary tumours and 19.6% for those with disseminated malignancy. Severe risk of malnutrition was an independent predictor for poor mortality in this cohort (adjusted HR 16.18, 95% CI 1.86 to 140.84, p = 0.012). Patients with right-sided colon cancer had high rates of morbidity. Conclusions: Mortality rates were high in patients with disseminated malignancy and in those with right sided colon cancer. Further research should identify optimal management strategy to reduce morbidity for these patient groups. © 2019 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology
Authors & Co-Authors
Drake, Thomas M.
Unknown Affiliation
Lee, Matthew J.
Unknown Affiliation
Alderson, Derek A.
Unknown Affiliation
Hamady, Zaed Z.R.
Unknown Affiliation
Maynard, Nick David
Unknown Affiliation
Singh, Pritam
Unknown Affiliation
Verjee, Azmina
Unknown Affiliation
Abdulaal, Yasser
Unknown Affiliation
Cook, Timothy M.
Unknown Affiliation
Lunevicius, Raimundas
Unknown Affiliation
McArthur, David R.
Unknown Affiliation
Moug, Susan Joan
Unknown Affiliation
Qureshi, Ahmad Uzair
Unknown Affiliation
Sheel, Andrea Rhiannon Glynne
Unknown Affiliation
Smart, Neil J.
Unknown Affiliation
Stylianides, Nicholas A.
Unknown Affiliation
Thompson, Robert L.
Unknown Affiliation
Watson, Nicholas F.S.
Unknown Affiliation
Andreou, Alexandros G.
Unknown Affiliation
Berger, Claudie J.
Unknown Affiliation
Blencowe, Natalie S.
Unknown Affiliation
Boddy, Alexander P.
Unknown Affiliation
Boyer, Matthew J.
Unknown Affiliation
Brown, Jason N.
Unknown Affiliation
Chapman, Stephen J.
Unknown Affiliation
Charalabopoulos, Alexandros
Unknown Affiliation
Conn, Gemma
Unknown Affiliation
Davies, Richard Justin
Unknown Affiliation
Demetriou, George A.
Unknown Affiliation
Donnelly, Eric D.
Unknown Affiliation
Elsaid, Nashwa
Unknown Affiliation
Evans, Jessica D.
Unknown Affiliation
Fisher, Oliver M.
Unknown Affiliation
Francis, Nader Kamal
Unknown Affiliation
Glasbey, James C.
Unknown Affiliation
Haddow, James Boyd
Unknown Affiliation
Hawkins, Jessica
Unknown Affiliation
Heller, Simon R.
Unknown Affiliation
Hossaini, Sina
Unknown Affiliation
Jones, Laura L.
Unknown Affiliation
Jull, Patrick
Unknown Affiliation
Malik, Ahmad Azam
Unknown Affiliation
McNair, Angus G.K.
Unknown Affiliation
Moss, Jana Lee
Unknown Affiliation
Nassar, Ahmad H.M.
Unknown Affiliation
Nowers, Jennifer
Unknown Affiliation
Nunn, Andrew J.
Unknown Affiliation
Olivier, James B.
Unknown Affiliation
Osei-Bordom, Daniel Clement
Unknown Affiliation
Parks, Rowan W.
Unknown Affiliation
Petronio, Barbara
Unknown Affiliation
Carceller Navarro, María Soledad
Unknown Affiliation
Sadien, Iannish D.
Unknown Affiliation
Seal, Sheila
Unknown Affiliation
Shaban, Fadlo
Unknown Affiliation
Thompson, Ellen J.
Unknown Affiliation
Wafi, Arsalan
Unknown Affiliation
Boland, Michael R.
Unknown Affiliation
Byrne, Benjamin E.
Unknown Affiliation
Lee, Kuok Chung
Unknown Affiliation
McKay, Siobhan Chloe
Unknown Affiliation
Mellor, Katie
Unknown Affiliation
Nunn, Rebecca
Unknown Affiliation
Venn, Mary L.
Unknown Affiliation
Fearnhead, Nicola S.
Unknown Affiliation
Statistics
Citations: 7
Authors: 65
Identifiers
Doi:
10.1016/j.ejso.2019.07.014
ISSN:
07487983
Research Areas
Cancer
Environmental
Food Security
Health System And Policy
Study Design
Randomised Control Trial
Cohort Study
Study Approach
Quantitative