Our Summary

This study aimed to find the optimal way to predict if ovarian cancer has spread to the intestines, an important step in deciding whether to perform a type of surgery called debulking. The researchers looked back at the records of 174 patients who underwent this surgery. They divided the patients into two groups: those who needed part of their intestine removed and those who did not. They then examined how well three types of imaging tests (CT, MRI, and a test that uses barium to make the intestines show up on X-rays) were able to correctly identify which patients had cancer in their intestines.

The results showed that using all three tests together was the most effective way to predict intestinal involvement, with about 79% of cases correctly identified and about 91% of non-cases correctly identified. However, even this combination did not catch all cases. Therefore, the researchers suggest that patients should be warned that there may still be a chance the cancer has spread to the intestines, even if the tests do not show it.

FAQs

  1. What was the aim of this study on intestinal resection?
  2. How effective were the imaging tests in identifying ovarian cancer spread to the intestines?
  3. If the tests do not show cancer spread to the intestines, can it still be possible?

Doctor’s Tip

Additionally, after intestinal resection surgery, it is important to follow your doctor’s instructions carefully for post-operative care. This may include taking prescribed medications, sticking to a specific diet, avoiding strenuous activities, and attending follow-up appointments. It is also important to monitor for any signs of infection or complications, such as fever, increased pain, or changes in bowel habits. If you experience any concerning symptoms, be sure to contact your healthcare provider immediately.

Suitable For

Patients who are typically recommended intestinal resection are those with ovarian cancer that has spread to the intestines, as determined by imaging tests such as CT, MRI, and barium X-rays. In these cases, surgery may be necessary to remove part of the intestine in order to effectively treat the cancer. It is important for patients to be aware that even with the most advanced imaging techniques, there is still a chance that the cancer may have spread to the intestines and require surgical intervention.

Timeline

Before intestinal resection:

  • Patient undergoes imaging tests (CT, MRI, barium test) to determine if cancer has spread to the intestines
  • Results of tests may not always accurately predict intestinal involvement
  • Surgery called debulking may be considered based on test results

After intestinal resection:

  • If cancer is found in the intestines, patient may undergo surgery to remove part of the intestine
  • Recovery period following surgery
  • Follow-up imaging tests to monitor for any recurrence of cancer
  • Ongoing monitoring and management of symptoms and potential complications of intestinal resection

What to Ask Your Doctor

  1. What is the reason for recommending intestinal resection?
  2. What are the potential risks and complications associated with intestinal resection?
  3. How will the surgery affect my digestion and bowel function?
  4. What is the recovery process like after intestinal resection?
  5. Will I need to make any dietary or lifestyle changes after the surgery?
  6. How long will I need to stay in the hospital after the surgery?
  7. What is the long-term outlook for patients who undergo intestinal resection?
  8. Are there any alternative treatments or options to consider before undergoing intestinal resection?
  9. How often will I need to follow up with my doctor after the surgery?
  10. What imaging tests will be used to monitor for any recurrence or spread of cancer after the surgery?

Reference

Authors: Takeda T, Hayashi S, Kobayashi Y, Tsuji K, Nagai S, Tominaga E, Suzuki T, Okuda S, Banno K, Aoki D. Journal: Int J Gynaecol Obstet. 2021 Jun;153(3):398-404. doi: 10.1002/ijgo.13492. Epub 2020 Dec 22. PMID: 33222157