OBJECTIVE: @entity1321 is a frequent sequela of recurrent @entity43 . Previous series report median survivals of 3-6 months in @entity1 undergoing surgery for obstruction due to recurrent disease. We analyze a contemporary series of @entity1 to determine if outcomes have changed in @entity1 undergoing palliative surgery. METHODS: We retrospectively reviewed all @entity1 undergoing surgery for @entity1321 due to recurrent @entity43 from 1994 to 1999. RESULTS: During the study period, 68 operations were performed on 64 @entity1 . Mean age at the time of obstruction was 57.3 years. Mean time from original diagnosis of @entity43 to obstruction was 2.8 years. Surgical correction (intestinal surgery performed for relief of obstruction) was attained in 57 of 68 (84%) cases. Successful palliation (the ability to tolerate a regular or low-residue diet at least 60 days postoperatively) was achieved in 71% of cases where surgical correction was possible. The rate of major surgical morbidity was 22%. There was one death from @entity358 and one from @entity298 . Two other @entity204 occurred due to progression of disease, for an overall perioperative mortality rate of 6%. Postoperative chemotherapy was administered in 45 of 57 (79%) cases where surgical correction was possible. The median survival of the entire cohort was 8 months. If surgery resulted in successful palliation, median survival was 11.6 months, versus 3.9 months for all other @entity1 (P <.01). CONCLUSIONS: The majority of our @entity1 undergoing surgery had successful palliation, and were able to receive further chemotherapy. They were discharged home, and could tolerate solid food.

Palliative surgery for bowel obstruction in recurrent XXXX :an updated series.

@entity43 :: ('MESH:D010051', 'Disease') :: ['ovarian cancer'] @entity1 :: ('9606', 'Species') :: ['patients'] @entity358 :: ('MESH:D008171', 'Disease') :: ['pulmonary embolus'] @entity1321 :: ('MESH:D007415', 'Disease') :: ['intestinal obstruction', 'Intestinal obstruction'] @entity204 :: ('MESH:D003643', 'Disease') :: ['deaths'] @entity298 :: ('MESH:D010538', 'Disease') :: ['peritonitis']
@entity43 :: (MESH:D010051,Disease) :: ['ovarian cancer']
