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Oncological emergencies associated with gastrointestinal tumors.

Prenen K, Prenen H - Ann Gastroenterol (2015 Oct-Dec)

Bottom Line: Oncological emergencies are defined as acute life-threatening conditions in cancer patients either as a result of the malignancy or as a result of its treatment.Furthermore, we discuss mechanical emergencies such as intestinal obstruction and vena cava superior syndrome as well as acute gastrointestinal bleeding and pulmonary embolism.The patients' performance status as well as prognosis are essential during decision making for optimal treatment.

View Article: PubMed Central - PubMed

Affiliation: Cliniques Universitaires Saint-Luc, Brussels (Klaas Prenen), Belgium.

ABSTRACT
Oncological emergencies are defined as acute life-threatening conditions in cancer patients either as a result of the malignancy or as a result of its treatment. In this review, we focus on oncological emergencies associated with gastrointestinal tumors. They can be categorized by their system of origin as hematologic, neurologic or metabolic. Furthermore, we discuss mechanical emergencies such as intestinal obstruction and vena cava superior syndrome as well as acute gastrointestinal bleeding and pulmonary embolism. The patients' performance status as well as prognosis are essential during decision making for optimal treatment.

No MeSH data available.


Related in: MedlinePlus

Endoscopic image of an ulcerating and diffuse bleeding adenocarcinoma of the stomach
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Figure 1: Endoscopic image of an ulcerating and diffuse bleeding adenocarcinoma of the stomach

Mentions: The treatment needs to be individualized depending on the underlying cause and risk benefit ratio of the treatment. Endoscopic interventions, involving the injection of sclerosing agents into the bleeding vessels, are an option when feasible. Often, however, there is diffuse bleeding of the tumor which cannot be stopped by local injection (Fig. 1). In these cases palliative hemostatic radiotherapy can be considered. Emergency surgery or transcutaneous arterial embolization can be considered but only in selected cases.


Oncological emergencies associated with gastrointestinal tumors.

Prenen K, Prenen H - Ann Gastroenterol (2015 Oct-Dec)

Endoscopic image of an ulcerating and diffuse bleeding adenocarcinoma of the stomach
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4585387&req=5

Figure 1: Endoscopic image of an ulcerating and diffuse bleeding adenocarcinoma of the stomach
Mentions: The treatment needs to be individualized depending on the underlying cause and risk benefit ratio of the treatment. Endoscopic interventions, involving the injection of sclerosing agents into the bleeding vessels, are an option when feasible. Often, however, there is diffuse bleeding of the tumor which cannot be stopped by local injection (Fig. 1). In these cases palliative hemostatic radiotherapy can be considered. Emergency surgery or transcutaneous arterial embolization can be considered but only in selected cases.

Bottom Line: Oncological emergencies are defined as acute life-threatening conditions in cancer patients either as a result of the malignancy or as a result of its treatment.Furthermore, we discuss mechanical emergencies such as intestinal obstruction and vena cava superior syndrome as well as acute gastrointestinal bleeding and pulmonary embolism.The patients' performance status as well as prognosis are essential during decision making for optimal treatment.

View Article: PubMed Central - PubMed

Affiliation: Cliniques Universitaires Saint-Luc, Brussels (Klaas Prenen), Belgium.

ABSTRACT
Oncological emergencies are defined as acute life-threatening conditions in cancer patients either as a result of the malignancy or as a result of its treatment. In this review, we focus on oncological emergencies associated with gastrointestinal tumors. They can be categorized by their system of origin as hematologic, neurologic or metabolic. Furthermore, we discuss mechanical emergencies such as intestinal obstruction and vena cava superior syndrome as well as acute gastrointestinal bleeding and pulmonary embolism. The patients' performance status as well as prognosis are essential during decision making for optimal treatment.

No MeSH data available.


Related in: MedlinePlus