Comparable results of surgical versus non-surgical management for patients with malignant bowel obstruction-a lesson from S1316 study

作     者：Abdallah Al Farai Mansour Al Moundhri 

作者机构：GI ProgramSultan Comprehensive Cancer Care and Research CenterMuscatOman 

出 版 物：《Hepatobiliary Surgery and Nutrition》 (肝胆外科与营养（英文）)

年 卷 期：2024年第13卷第2期

页      面：304-306页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Malignant bowel obstruction surgery non-surgical 

摘      要：We had the pleasure to read the paper published online by Krouse et *** August 2023 in the Lancet Gastroenterology and Hepatology(1).The study labeled as S1316 was a prospective pragmatic comparative effectiveness trial evaluating the surgical versus non-surgical management for patients with malignant small intestinal bowel obstruction(MIO)and having an intra-abdominal or retroperitoneal primary cancer and were aged 18 years or older with a Zubrod performance status 0-2 within 1 week before admission;had a surgical indication;and treatment *** patients were divided in two *** who accepted the randomization were randomly assigned to surgical and non-surgical treatment *** who declined consent for random assignment were offered a prospective observational patient choice pathway where the patients with their caring team decide upon the treatment option.