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10 The Royal Marsden Steroids – Feuer DJ, Broadley KE (2000) – Trend for evidence that steroids may bring about resolution (NNT=6) – Low incidence of side effects – No effect on survival – May palliate symptoms well – Length of trial period unknown (suggest 5d)
11 The Royal Marsden Octreotide vs Hyoscine Butylbromide – Mystakidou et al (2002) – 68 patients with inoperable bowel obstruction – Randomised to receive hyoscine butylbromide or octreotide – Significant improvement in octreotide arm with respect to: – Nausea – Vomiting – Fatigue – Anorexia – No difference in relation to pain – BUT low doses of hyoscine butylbromide used
Page 1 and 2: The Royal Marsden Palliative care p
Page 3 and 4: 3 The Royal Marsden Bowel Obstructi
Page 5 and 6: 5 The Royal Marsden Pathophysiology
Page 7 and 8: 7 The Royal Marsden Surgery - Publi
Page 9: 9 The Royal Marsden Pharmacological
Page 13 and 14: 13 The Royal Marsden Impact of Mali
Page 15 and 16: 15 The Royal Marsden Incidence - Ad
Page 17 and 18: 17 The Royal Marsden Physiology Cen
Page 19 and 20: 19 The Royal Marsden Management - I
Page 21 and 22: 21 The Royal Marsden Anti-emetics -
Page 23 and 24: 23 The Royal Marsden Antiemetics [2
Page 25 and 26: 25 The Royal Marsden Ascites
Page 27 and 28: 27 The Royal Marsden Diuretic Thera
Page 29 and 30: 29 The Royal Marsden Cochrane Datab
Page 31 and 32: 31 The Royal Marsden Paracentesis [
Page 33 and 34: 33 The Royal Marsden PleurX periton
Page 35 and 36: 35 The Royal Marsden PleurX drain i
Page 37 and 38: 37 The Royal Marsden Multiple Choic
Page 39: 39 The Royal Marsden Conclusion - B

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