ABSTRACT
Background: With so much burden of advanced incurable disease, the role of palliative surgery is paramount for gastrointestinal malignancies improving quality of life. Aim of the study was to study the indications, risks and outcome of palliative surgeries in gastrointestinal malignancies, the burden of disease requiring palliative surgery, and to describe strategies to improve end of life care.Methods: All the patients diagnosed with gastrointestinal malignancy and who underwent palliative surgery between January 2017 and December 2017 were analysed.Results: A total of 186 cases underwent palliative surgery. The most common age group affected was between 50-60 years and the mean age was 54.55 years. Stomach was the most common primary consisting of 58.60% followed by colorectal (23.66%), small intestine (9.68%), hepato-pacreatico-billiary (4.30%), and oesophageal (3.76%) primary. Major complications were seen in 4.84% of cases. Average symptomatic relief was observed for 5.5 months in cases of stomach and 7 months in case of colorectal malignancies. 35.48% cases were alive at the end of one year.Conclusions: Present study concludes that palliative surgery improves quality of life of the patient, provides them with time to accept death and live rest of the life in a dignified manner.
ABSTRACT
Background: Carcinoma of stomach is the second mostcommon cancer in developing countries after lung in males.Chile, Costa Rica, Japan, China and former Soviet Union hasthe highest reported death rate.Subjects and Methods: The present study is a Retrospectivestudy and the study period was between October 2015 toSeptember 2018. The age as an inclusion criterion was 30years above reporting with histopathological diagnosis ofgastric carcinoma to determine the age at presentation, stageat presentation, gender distribution, type of surgery done andthe common histopathological diagnosis.Results: Highest incidence of 27.6%in the age group 40-49years, 23.7% in 30-39 years, 22.4% in 50-59 years, and 18.4%in 60-69 years and 9.2% in >70 years, beyond 70 years theincidence decreases.Conclusion: To conclude the present study showed a highincidence in the age group 40 to 49yrs and the most commonaffected gender was male. Pylorus and Pyloric antrum werethe common site of presentation. Most of the patient around59.2% presented in a locally advanced stage.