Abstract
We studied the operative indications for peritoneal dissemination from metastatic recurrent colorectal cancer with ileus. The symptoms associated with ileus negatively affect the patient's quality of life.
It is difficult to determine the operative indications for the treatment of ileus because surgery results in a shortening of the patient's survival.
A total of 14 patients presenting with recurrent peritoneal dissemination and ileus during the period from 1999 to 2009 were operated on for colorectal cancer at Fukuoka University Hospital.
We classified the patients into two groups: those treated surgically for ileus, and those who were not.
We also classified the 14 patients into two groups: those demonstrating a PNI score of over 40, and those with a PNI score of less than 40.
Our results showed that the patients treated surgically for ileus with a PNI score of over 40 demonstrated a survival of 120 days or more.
