Treatment for Peritoneal Dissemination from Metastatic Recurrent Colorectal Cancer with Ileus

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  • Tanimura Syu
    Department of Gastroenterological Surgery, Fukuoka University of Medicine
  • Hoshino Seiichirou
    Department of Gastroenterological Surgery, Fukuoka University of Medicine
  • Aisu Naoya
    Department of Gastroenterological Surgery, Fukuoka University of Medicine
  • Yoshida Youichirou
    Department of Gastroenterological Surgery, Fukuoka University of Medicine
  • Beppu Richiko
    Department of Gastroenterological Surgery, Fukuoka University of Medicine
  • Tanaka Shinnosuke
    Department of Gastroenterological Surgery, Fukuoka University of Medicine
  • Yamashita Yuichi
    Department of Gastroenterological Surgery, Fukuoka University of Medicine

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Other Title
  • 大腸癌腹膜播種再発にともなう腸閉塞に対する治療方針について（栄養評価からの検討）

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We studied the operative indications for peritoneal dissemination from metastatic recurrent colorectal cancer with ileus. The symptoms associated with ileus negatively affect the patient's quality of life.<br> It is difficult to determine the operative indications for the treatment of ileus because surgery results in a shortening of the patient's survival.<br> A total of 14 patients presenting with recurrent peritoneal dissemination and ileus during the period from 1999 to 2009 were operated on for colorectal cancer at Fukuoka University Hospital.<br> We classified the patients into two groups: those treated surgically for ileus, and those who were not.<br> We also classified the 14 patients into two groups: those demonstrating a PNI score of over 40, and those with a PNI score of less than 40.<br> Our results showed that the patients treated surgically for ileus with a PNI score of over 40 demonstrated a survival of 120 days or more.<br>

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