Skip to main content

Complications in the Palliative Chemotherapy of Peritoneal Cancer

  • Chapter
  • First Online:
Peritoneal Tumors and Metastases
  • 493 Accesses

Abstract

Peritoneal cancer and its complications remain among the greatest challenges in oncology. The underlying neoplasia and its typical complications are major determinants of prognosis; complications can occur at various time points in the course of the disease. Clinical symptoms can be divided into two main subgroups: (1) mechanical disorders of the digestive tract, mechanical ileus/subileus, constipation, paradoxical diarrhea, pain, and compression of intra-abdominal organs (e.g., renal congestion), and (2) disorders of the autonomic nervous system of the abdomen, neuropathic pain, difficulties emptying bowels, feeling of fullness, and paralytic ileus/subileus.

Treatment of advanced disease mostly includes systemic chemotherapy. Typical related complications and side effects are nausea/vomiting, diarrhea, constipation, infections, and the fatigue syndrome. Multidisciplinary approaches including a palliative care assessment are necessary for an optimal care of peritoneal cancer patients.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. AWMF (ed). S3-Leitlinie Palliativmedizin für Patienten mit einer nicht heilbaren Krebserkrankung. www.awmf.org/uploads/tx_szleitlinien/128–001OLl_S3_Palliativmedizin_2015–07.pdf (Zugriff 11.08.2017).

  2. AWMF Leitlinie Supportive Therapie bei onkologischen PatientInnen; Leitlinienprogramm Onkologie (Deutsche Krebsgesellschaft, Deutsche Krebshilfe, AWMF): Supportive Therapie bei onkologischen PatientInnen - Langversion 1.3, 2020, AWMF Registernummer: 032/054OL, https://www.leitlinienprogrammonkologie.de/leitlinien/supportive-therapie/ (Zugriff am 08.06.2020).

  3. Blagden SP, Charman SC, Sharples LD, Magee LRA, Gilligan D. Performance status score: do patients and their oncologists agree? Br J Cancer. 2003;89:1022–7.

    Article  CAS  Google Scholar 

  4. Clark K, Lam L, Currow DC, Agar M. A Prospective Study to Investigate Contributory Factors That Lead to Constipation in Palliative Care Patients. J Pain Symptom Manage. 2014;47:e1–4.

    Article  Google Scholar 

  5. Coccolini F, Gheza F, Lotti M, Virzì S, Iusco D, Ghermandi C, Melotti R, Baiocchi G, Giulini SM, Ansaloni L, Catena F. Peritoneal carcinomatosis. World J Gastroenterol. 2013;19:6979–94.

    Article  CAS  Google Scholar 

  6. Deutsche Gesellschaft für Palliativmedizin (ed) Palliativmedizinisches Basisassessment. www.dgpalliativmedizin.de/images/DGP_Palliativmedizinisches_Basisassessment_2016.pdf. (Zugriff 11.08.2017).

  7. Gerber LH. Cancer-related fatigue: persistent, pervasive, and problematic. Phys Med Rehabil Clin N Am. 2017;28:65–88.

    Article  Google Scholar 

  8. Onkopedia Antiemese bei medikamentöser Tumortherapie; 2019; Jordan K, et al. https://www.onkopedia.com/de/onkopedia/guidelines/antiemese-bei-medikamentoeser-tumortherapie/@@guideline/html/index.html; Lambert LA. Looking up: recent advances in understanding and treating peritoneal carcinomatosis. CA Cancer J Clin. 2015;65:284–298.

  9. MASCC – Multinational Association of Supportive Care in Cancer (ed). Identifying patients at low risk for FN complications: development and validation of the MASCC risk index score; 2017. www.mascc.org/mascc-fn-risk-index-score (Zugriff 24.08.2017).

  10. Maschmeyer G für die Arbeitsgemeinschaft Infektionen in der Hämatologie und Onkologie (AGIHO) der DGHO (ed). Infektionen bei hämatologischen und onkologischen Patienten – Übersicht; 2014. www.onkopedia.com/de/onkopedia/guidelines/infektionen-bei-haematologischen-und-onkologischen-patienten-uebersicht (Zugriff 11.08.2017).

  11. McQuade RM, Stojanovska V, Abalo R, Bornstein JC, Nurgali K. Chemotherapy-induced constipation and Diarrhea: pathophysiology, current and emerging treatments. Front Pharmacol. 2016;7:414.

    Article  CAS  Google Scholar 

  12. NCCN – National Comprehensive Cancer Network (ed). NCCN Distress Thermometer and Problem List for Patients; 2016. www.NCCN.org/patients/resources/life_with_cancer/pdf/NCCN_distress_thermometer.pdf (Zugriff 11.08.2017).

  13. NCCN – National Comprehensive Cancer Network (ed). Patient and Caregiver Resources; 2017. www.NCCN.org/patients/resources/life_with_cancer/managing_symptoms/fatigue.aspx (Zugriff 11.08.2017).

  14. Possinger K, Regierer AC. Facharzt Hämatologie Onkologie, 2. Aufl. München: Elsevier; 2012.

    Google Scholar 

  15. Radbruch L, Sabatowski R, Loick G, Jonen-Thielemann I, Elsner F, Hörmann E. MIDOS--validation of a minimal documentation system for palliative medicine. Schmerz. 2000;14:231–9.

    Article  CAS  Google Scholar 

  16. Reisenegger I, Weis J. Die Erfassung tumorbedingter Fatigue: Übersicht über Messinstrumente und methodische Probleme. Basel: Karger; 2000.

    Google Scholar 

  17. Späth-Schwalbe E. Antiemetische Behandlung bei zytostatischer Chemotherapie. Dtsch Arztebl 98 [Internet]; 2001.

    Google Scholar 

  18. U.S. Department of Health and Human Services (ed) Common Terminology Criteria for Adverse Events (CTCAE), Version 4.0. https://evs.nci.nih.gov/ftp1/CTCAE/CTCAE_4.03_2010–06–14_QuickReference_5x7.pdf (Zugriff 11.08.2017).

    Google Scholar 

  19. Onkopedia Fieber unbekannter Genese. 2018; Heinz W, et al. https://www.onkopedia.com/de/onkopedia/guidelines/fieber-unbekannter-genese-fuo-bei-neutropenischen-patienten/@@guideline/html/index.html

  20. Lambert LA. Looking up: recent advances in understanding and treating peritoneal carcinomatosis. CA Cancer J Clin. 2015;65(4):284–98. https://doi.org/10.3322/caac.21277.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Marianne Sinn .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Sinn, M. (2021). Complications in the Palliative Chemotherapy of Peritoneal Cancer. In: Rau, B., Königsrainer, A., Mohamed, F., Sugarbaker, P.H. (eds) Peritoneal Tumors and Metastases. Springer, Cham. https://doi.org/10.1007/978-3-030-62640-2_28

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-62640-2_28

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-62639-6

  • Online ISBN: 978-3-030-62640-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics