Malignant bowel obstruction

Abstract

Malignant bowel obstruction is a common complication of malignancy and is particularly so in the context of gastrointestinal and gynaecological malignancies. It has a profound negative impact on the quality of life of affected patients. While it portends a grim prognosis in advanced disease, it may also be the presenting feature of an early stage of a gastrointestinal cancer. Management may include surgery and use of self-expanding stents, as well as pharmacological intervention. Malignant bowel obstruction is regarded by many to be among the clinical situations considered to be palliative care emergencies.