The management of patients with advanced cancer (II)

Steven D. Heys*, Ian Smith, Oleg Eremin

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


In this second article in the series, obstruction of hollow viscera in patients with advanced malignant disease is discussed. The obstruction of such structures can be associated with the development of painful and incapacitating symptoms, often in patients who have a limited life expectancy. This obstruction may be caused by the primary tumour, compression from adjacent tumour-draining lymph nodes, the presence of metastases distant from the site of the primary tumour or to adhesions within the abdominal compartment (usually as a result of previous surgery). The organs most often affected are the oesophagus, the intestine (small and large), the biliary tree and the genito-urinary tract. Obstruction of each of these organs and its management is discussed in more detail below.

Original languageEnglish
Pages (from-to)257-263
Number of pages8
JournalEuropean Journal of Surgical Oncology
Issue number3
Publication statusPublished - 1 Jun 1997

Bibliographical note

We are grateful to Dr G. Needham FRCR and Dr J.K. Hussey FRCR for providing radiological examples of colonic and biliary stents.


  • Advanced cancer
  • Surgical management


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