Evidence map›Paper›PMID 41777023›Full record

ReviewRadiology and oncology2026

Management of malignant bowel obstruction in patients with advanced cancer at the end of life.

Nena Golob, Rok Petric, Maja Ebert Moltara

Abstract readReview
In one paragraph

Review in Radiology and oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Nena Golob1Department of Acute Palliative Care, Institute of Oncology Ljubljana, Ljubljana, Slovenia.
Rok Petric3Divison of Surgery, Institute of Oncology Ljubljana, Ljubljana, Slovenia.
Maja Ebert Moltara1Department of Acute Palliative Care, Institute of Oncology Ljubljana, Ljubljana, Slovenia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMalignant bowel obstruction in patients with advanced cancer at the end of life is common. Patients may have substantial symptoms (pain, nausea and vomiting) and experience aggressive care at the end of life. Due to the lack of robust evidence, the care algorithm of treatment for patients at the end of life is not standardized. Patient's prognosis, clinical condition and patient's preferences related to goals of care discussion must be considered when opting between comfort-focused care (conservative/pharmacological treatment), palliative (nonsurgical) procedures and palliative surgery. PATIENTS AND

methodsA focused literature search was conducted in PubMed/Medline to identify recommendations on the management of malignant bowel obstruction in patients with advanced cancer at the end of life. The search focused on symptom management using Medical Subject Headings (MeSH) terms related to intestinal obstruction in patients with advanced cancer at the end of life.

resultsUsing the MeSH terms related search in PubMed/Medline, 9,532 articles were initially identified. After applying filters, 535 articles were selected for further review. Additional sources included reference lists and grey literature. In total, 83 references were used to support the management recommendations/suggestions in this article.

conclusionsIt is essential to engage patients and families in goals of care discussions to promote understanding of the palliative intent of different malignant bowel obstruction interventions. Research is needed to assist clinicians in decision making to provide patients at the end of life with appropriate care. Criteria for the selection of candidates for palliative surgery are needed to avoid significant complications and overly aggressive treatment at the end of life when the focus is maintaining and enhancing the quality of life of patients.

Indexed as

Intestinal ObstructionNeoplasmsPalliative CareTerminal CareHumansadvanced cancerend of lifemalignant bowel obstructionquality of lifetreatment

Identifiers

PMID41777023
PMCPMC13307013

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.