Bypasschirurgie zur Palliation

Abstract

Impaired intestinal passage considerably reduces quality of life irrespective of the underlying condition. Limited life expectancy and increased operative risk of advanced malignant disease add particular weight to this issue. The indication for operative therapy results from carefully weighing individual incapacity and potential gain vs operative risk and life expectancy. Exactly because life expectancy is quite limited, selection of an effective, low-risk procedure is of utmost importance to benefit the patient.

Visceral Surgery: Treatment Options in Palliative Care

“…Palliative resection is indicated in all symptomatic (stenosis) patients that cannot be treated conservatively. An intestinointestinal bypass is preferred over a colostoma or protective ileostoma as only the bypass allows colonic continuity [30].…”