Personalized management strategies for malignant bowel obstruction        ZHOU Zong-guang*, YIN Yuan, YU Yong-yang, et al. *Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041, China
Corresponding author: ZHOU Zong-guang, E-mail：zhou767@163.com
Abstract    With the incidence of abdominal malignancies  keeping  to increase, malignant bowel obstruction, including complete or incomplete bowel obstruction caused by primary abdominal malignancies of gastrointestinal tract，mesentery and pelvis, and recurrent or metastatic tumor, has become   the most common and troublesome clinical problems. As the conditions of the disease including the location and severity of obstruction, stage of the malignancy, and the general condition and comorbidity  of the patients vary greatly, it is challenges for the surgeons that the clinical skills and knowledge updating of physicians, and multi-discipline team（MDT）cooperation, suggesting that patients would benefit from strategy treatment plan considering both the relieving  obstruction and  the managing  tumor at the same time.   In fact, different surgeons on the management of malignant bowel obstruction  may produce completely different prognosis，depending on technical specification and surgical experience of the surgeons. The purpose of this article is to try to summarize a personalized management strategy for patients with malignant bowel obstruction based on the clinical features of the disease in China, the treatment principle of abdominal malignancies and clinical practice experience.