BOUNCED: are cancer patients diagnosed with partial bowel obstruction able to follow a 4 stage diet and does it reduce symptoms and improve quality of life?

ABSTRACT: Background and study aims Bowel obstruction is a common complication in patients with ovarian, peritoneal and bowel cancer due to a mass or spread of disease, causing narrowing to the gut, as these cancers can grow on the bowel surface. Certain foods may lead to symptoms such as pain, bloating, feeling full, feeling sick, vomiting and difficulty passing a bowel motion. There is limited evidence to establish the best diet to follow when someone is diagnosed with the risk of bowel obstruction and is experiencing symptoms after eating and drinking. The Dietitians at the Royal Surrey have developed a 4 stage bowel obstruction diet which they have been using with patients for 3 years. The 4 stages are clear fluids, all thin liquids, low fibre soft smooth diet, low fibre soft sloppy diet. Depending on the severity of symptoms and the risk of a blockage, patients are asked to follow a certain stage of the diet. They are advised to move up and down the stages as symptoms improve or get worse. This feasibility study aims to investigate if the diet can be used and is effective in clinical practice. The objectives are to see if this diet is easy to follow, can reduce symptoms of bowel obstruction, can improve quality of life, and reduce admissions to hospital because of bowel blockages. Who can participate? Patients who have had a CT scan and have been shown to be at risk of bowel obstruction with a partial blockage due to colorectal, ovarian, or peritoneal cancer, and are experiencing symptoms as a result. What does the study involve? After signing a consent form the dietitian will explain how the 4 stage diet works and which stage of the diet each participant starts from. They will also explain what to do if symptoms get worse or better and how to move to a different stage of the diet. During the study, participants will be asked to complete a simple diet diary every day, as well as 3 other questionnaires. These will ask about symptoms and aspects that may affect their quality of life and will need to be completed at the start and the end of the trial. On the last day of the trial, they will also be asked to answer 4 questions about how easy or difficult they found the diet to follow. Involvement in the study will last for 4 weeks (28 days). The dietitian will review participants weekly during the study. This will either be in person at the cancer centre or at home by telephone or video call.

DISEASE(S): Bowel Obstruction As A Result Of Colorectal Or Ovarian Cancer

PROVIDER: 2408249 | ecrin-mdr-crc |

REPOSITORIES: ECRIN MDR