SWOG clinical trial number

Prospective Comparative Effectiveness Trial for Malignant Bowel Obstruction

Abbreviated Title
Surgery vs Non-Surgical Management for MBO
Status Notes
Re-Activation - Effective 6/1/18

Research committees

Cancer Survivorship
Gastrointestinal Cancer


Surgery Non-surgical management

Other Study Materials

Eligibility Criteria Expand/Collapse

Must have malignant bowel obstruction (MBO); must have MBO due to an intra-abdominal primary cancer; must be able to tolerate a major surgical procedure based on clinical evaluation, status of their cancer, and any other underlying medical problems; a member of the surgical team must indicate equipoise for the benefit of the surgical treatment for MBO; pts must not have signs of bowel perforation or "acute" abdomen as evidenced by free air on radiologic imaging or peritonitis on a physical exam within 2 days prior to reg; must be registered within 3 days after surgical consult for MBO and prior to any treatment for MBO; Zubrod PS 0-2 within 7 days prior to reg; must plan to collect serum albumin after admission, but prior to treatment; must be able to complete study questionnaires in English; must be >/= 18 years old.

Publication Information Expand/Collapse


Surgical versus non-surgical management for patients with malignant bowel obstruction (S1316): a pragmatic comparative effectiveness trial

R Krouse;G Anderson;K Arnold;C Thomson;V Nfonsam;M Al-Kasspooles;J Walker;V Sun;A Alvarez Secord;E Han;A Leon-Takahashi;D Isla Ortiz;P Rodgers;S Hendren;M Sanchez Salcedo;J Laryea;W Graybill;D Flaherty;H Mogal;T Miner;J Pimiento;M Kitano;B Badgwell;G Whalen;J Lamont;O Guevara;M Senthil;S Dewdney;E Silberfein;J Wright;B Friday;B Fahy;S Anantha;M O'Rourke;M Bakitas;J Sloan;M Grant;G Deutsch;J Deneve Lancet Gastroenterology and Hepatology Aug 1;S2468-1253(23)00191-7

PMid: PMID37541263 | PMC number: PMC10530384

Ability to Eat among Cancer Patients Treated for Malignant Bowel Obstruction: A Secondary Analysis within SWOG S1316

C Thomson;G Anderson;K Arnold;V Sun;R Krouse ASPO Annual Meeting (March 12-14, 2023, San Diego, CA)


Intellectual Equipoise and Challenges: Accruing Patients with Advanced Cancer to a Trial Randomizing to Surgical or Non-Surgical Management (SWOG S1316)

G Deutsch;J Deneve;M Al-Kasspooles;V Nfonsam;C Gunderson;A Alvarez Secord;P Rodgers;S Hendren;E Silberfein;ML Grant;J Sloan;V Sun;K Arnold;G Anderson;R Krouse American Journal of Hospice & Palliative Medicine Jan;37(1):12-18; May 23, 2019 [Epub ahead of print]

PMid: PMID31122027 | PMC number: PMC6868288

Sociocultural Factors of Cancer Clinical Trial Recruitment and Multidisciplinary Team Recruitment of Latin-American Patients in Mexico, Peru and Colombia

D Isla;R Krouse;A Mohar;A Leon;M Sanchez;O Guevara;M Lopez;LG Mora;N Macavilca;IC Carrillo International Conference on Advancing the Science of Cancer in Latinos (Feb 26-28, 2020, San Antonio, TX), poster

Successful implementation of a novel trial design in a palliative care population

K Arnold;G Anderson;J Deneve;R Topacio;R Krouse Society for Clinical Trials (virtual meeting September 1, 2020 - April 30, 2021), poster


Prospective comparative effectiveness trial for malignant bowel obstruction: SWOG S1316

RS Krouse American College of Surgeons Bulletin Dec;100(12):49-50

PMid: PMID26749971