Management of Malignant Small Bowel Obstruction: Is Intestinal Bypass Effective Palliation?

Transanal ileus catheter combined with nasal ileus catheter in the treatment of malignant ileus in 14 cases: a case series and literature review

“…Rodríguez et al reported that palliative gastrojejunostomy allows rapid return to oral intake in patients with malignant intestinal obstruction (13). Read et al reported that patients with intestinal obstruction who underwent intestinal bypass surgery could have restored eating ability with a great probability and could withstand further antitumor treatment (14). Zhang et al reported that surgical treatment of malignant intestinal obstruction has certain advantages in the life cycle (15), but most of our surgical treatment patients had single-lesion obstruction, and diffuse multiple obstruction accounts for a greater proportion of malignant intestinal obstruction.…”

Combination of transnasal ileus tube and local small intestine artery perfusion chemotherapy for late malignant small bowel obstruction

“…Therefore, non-surgical interventions, such as the utilization of transnasal ileus tube, may be deemed more appropriate for these patients [38] , This is primarily due to the simpli ed and expedited nature of the procedure compared to surgery, the relatively lax physiological condition of the patients, the reduced number of contraindications, and the broader range of indications. Additionally, these approaches facilitate prompt resumption of oral intake in individuals with malignant intestinal obstruction and can withstand subsequent antitumor therapy [39] . Although, it has been observed that MBO can be effectively addressed through the implementation of both intraluminal stent installation and intra-arterial drug infusion [40][41][42] , nevertheless, this approach is frequently accompanied by complications such as upper gastrointestinal or colon obstruction, and its applicability is restricted to solitary stenosis lesions.…”