Management of large bowel obstruction in advanced ovarian cancer with intraluminal stents.
BACKGROUND
While most patients with advanced ovarian cancer can achieve prolonged remission with surgery and chemotherapy, eventually most will recur. Commonly bowel obstruction will complicate their recurrence, usually heralding the terminal phase of their disease. Standard management of bowel obstruction has involved surgical intervention after a period of conservative medical management. Unfortunately, many patients submitted for surgery do not derive benefit from such an approach, spending the majority of their remaining life in the hospital or recovering from the surgery.


METHODS
Two cases of patients with large bowel obstruction resulting from advanced and recurrent ovarian cancer are presented. In the first case, a rectal stent was decided upon as the appropriate management as she was failing first-line therapy, with little likelihood of recovering from a laparotomy. In the second case a large recurrent infected tumor mass had already been debulked, but was continuing to cause obstructive symptoms. In both cases immediate relief of their gastrointestinal symptoms was achieved.


CONCLUSIONS
In patients with large bowel obstruction secondary to extrinsic compression, useful palliation can be achieved with a colonoscopically placed endoluminal stent.
Carter
Jonathan
J
Sydney Gynaecologic Oncology Group, Department of Colorectal Surgery, Royal Prince Alfred Hospital, Missenden Road, Camperdown, New South Wales, 2050, Australia. jocarter@mail.usyd.edu.au
Valmadre
Susan
S
Dalrymple
Christopher
C
Atkinson
Kenneth
K
Young
Christopher
C
D003108:Colonic Diseases / Q000209:etiology / Q000628:therapy*; D003113:Colonoscopy; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000628:therapy*; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000150:complications; D010051:Ovarian Neoplasms / Q000150:complications*; D015607:Stents