Aggressive Pharmacological Treatment for Reversing Malignant Bowel Obstruction

Antonio Marrazzo, Sebastiano Mercadante, Antonio Marrazzo, Patrizia Villari, Patrizia Ferrera

Research output: Contribution to journalArticlepeer-review

69 Citations (Scopus)

Abstract

Early and intensive pharmacological treatment not only may reduce gastrointestinal symptoms but also reverse malignant bowel obstruction. Fifteen consecutive advanced cancer patients with inoperable bowel obstruction received a combination of drugs including metoclopramide, octreotide, dexamethasone and an initial bolus of amidotrizoato. Recovery of intestinal transit was reported within 1-5 days in fourteen patients, who continued this treatment without presenting symptoms of bowel obstruction until death. This case series establishes that the combination of propulsive and antisecretive agents can act synergistically to allow a fast recovery of bowel transit without inducing unpleasant colic. It suggests that the most important mechanism in these circumstances is functional and can be reversible, if an aggressive treatment is initiated early before fecal impaction and edema render bowel obstruction irreversible.
Original languageEnglish
Pages (from-to)412-416
JournalJournal of Pain and Symptom Management
Volume28 (4)
Publication statusPublished - 2004

All Science Journal Classification (ASJC) codes

  • General Nursing
  • Clinical Neurology
  • Anesthesiology and Pain Medicine

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