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4 The Royal Marsden Malignant Bowel Obstruction – 3% all cancers – Autopsy studies of patients with ovarian cancer: – Large and small bowel involvement in 49% and 42% cases resp. (Rose et al,1978) – Large and small bowel involvement in 78% and 70% cases, with bowel obstruction in 51% cases (Dvoretsky et al,1988)
5 The Royal Marsden Pathophysiology Accumulation of secretions Distension Secretion of fluid Raised intraluminal pressure Obstruction of venous drainage Reduced oxygen consumption Intestinal gangrene Perforation
Page 1 and 2: The Royal Marsden Palliative care p
Page 3: 3 The Royal Marsden Bowel Obstructi
Page 7 and 8: 7 The Royal Marsden Surgery - Publi
Page 9 and 10: 9 The Royal Marsden Pharmacological
Page 11 and 12: 11 The Royal Marsden Octreotide vs
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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