Gastrointestinal symptoms such as anorexia-cachexia, chronic nausea, vomiting and bowel obstruction are highly distressing for patients with advanced cancer. Approximately one in three adults will be diagnosed with cancer in their lives and approximately fifty per cent of them will die because of malignancy. More than eighty per cent of patients who die of cancer will present severe gastrointestinal symptoms before death. This book presents detailed, evidence-based information on each of the gastrointestinal symptoms for a multi-disciplinary audience. Comprehensive guidelines have been included on how to assess the patient, in order to ensure effective treatment, in which prescribing is tailored to the cause of the symptoms and to the patients individual needs. The book recognises that the aim of good cancer management and palliative care is to assess, diagnose, manage and treat these symptoms to ensure bestquality of life.
Frequency and severity of gastrointestinal in advanced cancer; The clinical assessment of the patient with gastrointestinal symptoms; Assessment and psychosocial support in patients with advanced GI malignancies; Cancer anorexia / Cachexia syndrome - epidemiology, pathogenesis and assessment; Oral Complications; Hiccup; Gastrointestinal Motility Disorders; Chronic nausea and vomiting; Constipation; Diarrhoea and malabsorption; Abdominal pain; Malignant bowel obstruction; Enteric Fistulae; Gastrointestinal bleeding in advanced cancer patients; Malignant Ascites; Jaundice in gastrointestinal malignancy; Endoscopic approach in treating gastrointestinal symptoms; Radiotherapy in treating gastrointestinal symptoms; Drug therapy for cancer-associated anorexia; Artificial nutrition - general approach and parenteral nutrition; Artificial nutrition - enteral Nutrition; Hydration; Ethical considerations in feeding or hyrdrating advanced cancer patients;
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