Management of malignant bowel obstruction with decompression tubes.

Department of Oncology, Xuzhou Central Hospital, Xuzhou, Jiangsu, China. lylyly7011@163.com.

European review for medical and pharmacological sciences. 2014;(19):2798-802

Abstract

OBJECTIVE To build a quantitative assessment system for normative cancer pain management. PATIENTS AND METHODS Two groups of 60 patients with malignant lower bowel obstruction were formed: the study group (n=30) patients receiving routine small intestinal decompression and enteral nutrition, and the control group (n=30) patients receiving nasogastric decompression and parenteral nutrition. The weight, protein indicators and occurrence of complications in the two groups were compared during the treatment. RESULTS The weight gain, increase of albumin and prealbumin, and complication rate were (1.9667 ± 1.38298) kg, (2.9133 ± 1.38258) g/L, (18.5333 ± 10.92840) mg/L and 26.67% in the study group compared with (0.6667±0.87428) kg, (1.5500 ± 0.72099) g/L, (12.9333 ± 8.47688) mg/L and 86.67% in the control group. There were statistically significant differences (t = -4,352,-4.789, -2.218; χ2 = 21.9910; p < 0.05 or p < 0.01) between the two groups. CONCLUSIONS The application of small bowel decompression tubes can improve the nutritional status, physical fitness, reduce complications in patients with malignant lower intestinal obstruction.

Methodological quality

Publication Type : Clinical Trial

Metadata