Lara D et al (2010) Constipation is a common problem in advanced cancer with an estimated 32-87% of patients and is only superseded by pain and anorexia. If untreated it can give rise to nausea, vomiting, abdominal distension, anal fissure and bowel obstruction.
Method:-A nonsystematic review of the literature was undertaken via Google scholar and Embase databases with the search period of between 2009-2012.Out of 7,570 results, 5 papers were selected as they broadly discussed constipation and its management in advanced cancer.
Keywords:- Constipation, advanced cancer, management, palliative care.
Limitations:- Language barrier. Some papers were written in different languages thus inability to translate. Coming up with six papers that adequately discussed the topic was challenging.
Results:-The papers explain that constipation is often inadequately assessed and undertreated.Assessment is predominantly based on a patient’s report, physical examination, and plain abdominal radiography. Current approaches to assessment are different to those recommended by the gastroenterological guidelines.
Conclusion:-Modified approaches may, therefore, be tolerable to patients by offering a developing targeted palliation. Further research should, therefore, focus on its impact, assessment, and management in palliative care. My presentation will provide an overview of the impact constipation has on quality of life and its management