gms | German Medical Science

27. Deutscher Krebskongress

Deutsche Krebsgesellschaft e. V.

22. - 26.03.2006, Berlin

Ileus - caused by incurable malignant disease

Meeting Abstract

Suche in Medline nach

  • corresponding author presenting/speaker Jörg Sauer - HELIOS Kliniken Schwerin, Schwerin, Deutschland
  • Klaus Dommisch - HELIOS Kliniken Schwerin, Schwerin

27. Deutscher Krebskongress. Berlin, 22.-26.03.2006. Düsseldorf, Köln: German Medical Science; 2006. DocPE563

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dkk2006/06dkk673.shtml

Veröffentlicht: 20. März 2006

© 2006 Sauer et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Background: The ileus is often the sign of an advanced stage of malicious illnesses that require palliative treatment. Medicine and especially palliative medicine has changed medical treatment in the way that it now aims at an improvement of life quality. Method: In our hospital 104 cases with 87 patients were analysed. These patients suffered from ileus in connection with an advanced malicious illness.

Results: An ileus was localised with 78 patients in the field of the small intestine and with 26 patients in the field of colon. 37 cases were treated in a conservative way, 67 cases required operative treatment. Primary tumors were found predominantly in the colon and also in the feminine genitals as well as in the stomach. On average the remaining life time was two months. 45% of the patients with ileus in the field of the small intestine were treated without operation.

Conclusions: The life time of patients with ileus and advanced malicious illness is short. Operations with high risk should be avoided. Patients with ileus in the field of the small intestine should be given conservative treatment which in case of failing may be converted into interventional or operative treatment. Operation can hardly be avoided with patients with ileus in the field of colon. If available, interventional therapy for the removal of stomach and intestine contents should be applied. The patient’s wish is to be considered. Treatment should aim at improving the patient’s life quality.