Cancer Intermittent Bowel Obstruction – Octreotide Injections May Work Well

Intermittent bowel obstruction during end of life is terrible with pain and vomiting. Regular self administered Octreotide injections given at first hint of trouble, controlled this problem.

Management of Treatment-Related Intermittent Partial Small Bowel Obstruction: The Use of Octreotide
Pain and Symptom Management In Press online 11 February 2010
Jeff Myers, Anoo Tamber, Macey Farhadian no abstract

  • Ca vagina with bowel spread
  • Would follow a pattern of diarrhea, then abdominal pain and distention, and finally vomiting over a four day period
  • Diagnosed with Malignant Bowel Obstruction
  • “She was instructed and taught to subcutaneously administer 300 mg of octreotide three times daily at the first sign of symptoms” – to be taken for 5 day course
  • dramatic improvement.

Addendum – also helped a case of obstruction in connective tissue disease:

OCTREOTIDE TREATMENT OF CHRONIC INTESTINAL PSEUDOOBSTRUCTION SECONDARY TO CONNECTIVE TISSUE DISEASES
GABRIEL PERLEMUTER, PATRICE CACOUB, STANISLAS CHAUSSADE, BERTRAND WECHSLER,
DANIEL COUTURIER, and JEAN-CHARLES PIETTE
ARTHRITIS & RHEUMATISM Vol. 42, No. 7, July 1999, pp 1545–1549

Comment – wonderful but not cheap; would need palliative care coverage to afford air max blancas air max blancas

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