Malignant Bowel Obstruction management pathway
Hi everyone,
Does anyone have and are willing to share a malignant bowel obstruction pathway that their workplace uses to conservatively manage either inpatients and/or outpatients? Also, do you have criteria that you use to identify patients "at-risk" of developing a bowel obstruction?
Thanks for your help
Created: 18 Mar 2026 08:03:56 AM
Yes thanks, I have seen the SESLHD procedure which is great in terms of medical management for a patient with MBO.
The pathway we would like to develop would be identifying patients at-risk through use of a triage system through nursing assessments, patient education materials, laxative plans with the aim to 1. reduce the risk of development of a MBO 2. Standardise MBO management for outpatients 3. Standardise MBO management for inpatients.
So its a big project to tackle!
Thanks for reaching out to your surgical colleagues. I appreciate your response.
Apologies for my delay in responding. Great topic - one that I have had to go and seek feedback from my surgical colleagues -> of which I am still awaiting a reply. I will update this post once I do.
In the meantime, I see the South Eastern Sydney Local Health District have a Bowel Obstruction - Medical Management of Malignant Bowel Obstruction guideline, published 2024.
I am sure we have some members of the CoP that work within this NSW Govt area, hopefully they can share their insight into this guideline or provide other recommendations?
Is your service looking into developing a local guideline?
Kindly
Alana