Brief Article
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World J Gastroenterol. Jul 28, 2013; 19(28): 4559-4567
Published online Jul 28, 2013. doi: 10.3748/wjg.v19.i28.4559
Surgical management of patients with bowel obstructions secondary to gastric cancer
Wen-Guang Wu, Ping Dong, Xiang-Song Wu, Mao-Lan Li, Qi-Chen Ding, Lin Zhang, Jia-Hua Yang, Hao Weng, Qian Ding, Zhu-Jun Tan, Jian-Hua Lu, Jun Gu, Ying-Bin Liu
Wen-Guang Wu, Ping Dong, Xiang-Song Wu, Mao-Lan Li, Qi-Chen Ding, Lin Zhang, Jia-Hua Yang, Hao Weng, Qian Ding, Zhu-Jun Tan, Jian-Hua Lu, Jun Gu, Ying-Bin Liu, Laboratory of General Surgery, Department of General Surgery, Xinhua Hospital, Affiliated to School of Medicine, Shanghai Jiaotong University, Shanghai 200092, China
Author contributions: Wu WG, Dong P and Liu YB designed research; Wu XS, Li ML and Ding QC performed research; Zhang L, Yang JH and Weng H contributed new reagents or analytic tools; Ding Q, Tan ZJ, Lu JH and Gu J analyzed data; Wu WG, Dong P and Liu YB wrote the paper; Wu WG and Dong P contributed equally to this work.
Correspondence to: Ying-Bin Liu, MD, PhD, Laboratory of General Surgery, Department of General Surgery, Xinhua Hospital, Affiliated to School of Medicine, Shanghai Jiaotong University, 1665 Kongjiang Road, Shanghai 200092, China. liuybphd@126.com
Telephone: +86-21-25076880 Fax: +86-21-25076880
Received: April 16, 2013
Revised: May 27, 2013
Accepted: June 1, 2013
Published online: July 28, 2013
Processing time: 103 Days and 18.2 Hours
Core Tip

Core tip: The management of patients who present with a small bowel obstruction (SBO) after treatment of primary carcinoma challenges the clinical judgement of even the most experienced surgeons when the feared cause is metastatic disease. It is difficult to predict whether the quality and/or the quantity of life in this group of patients will be improved by surgery. This study evaluated the clinical role of 18F-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) in identifying SBOs and its role in subsequent clinical treatment strategies. We found that 18F-FDG PET/CT is an appropriate method to identity the causes of bowel obstructions secondary to gastric cancer, and this method is useful for the surgical management of these patients.