Kinesio-Taping vs. Usual Care for Malignant Bowel Obstruction With Ascites

Summary

The goal of this clinical trial is to find out whether abdominal Kinesio-taping is a feasible and effective way to relieve symptoms in patients with malignant bowel obstruction and ascites who still have severe symptoms after surgery, medication, or nasogastric tube treatment. The main questions it aims to answer are: * Can abdominal Kinesio-taping reduce the severity of symptoms, such as abdominal pain, bloating, and nausea, in these patients? * Is abdominal Kinesio-taping a safe and practical treatment option for this patient group? Participants in this study are adults with cancer who have been diagnosed with malignant bowel obstruction and ascites, and whose symptoms have not improved after standard medical treatments. People who are allergic to tape, have abdominal wounds, are pregnant, or are unable to provide consent will not be included. Participants will be randomly assigned to one of two groups: * The Kinesio-taping group will receive standard care for malignant bowel obstruction plus abdominal Kinesio-taping, applied by trained professionals using a standardized procedure. * The control group will receive standard care only. The main outcomes measured will be changes in symptom severity using the Edmonton Symptom Assessment System (ESAS) modified for ascites, as well as abdominal girth and pain medication use. Symptoms and side effects will be closely monitored to ensure safety. The information from this study may help determine whether Kinesio-taping can be an additional, safe, and effective option for managing symptoms in patients with advanced cancer who have malignant bowel obstruction and ascites.

Eligibility

Inclusion Criteria:

* Adults aged 18 years or older.
* Histologically confirmed intra-abdominal or retroperitoneal malignancy.
* Diagnosis of malignant bowel obstruction with ascites located below the ligament of Treitz.
* Persistent severe symptoms (such as pain, bloating, nausea, vomiting) after surgery, medication, or nasogastric tube treatment.
* Able to communicate in Mandarin or Taiwanese.
* Capable of providing informed consent.

Exclusion Criteria:

* Presence of significant abdominal wounds that preclude application of Kinesio tape.
* Known allergy or hypersensitivity to Kinesio tape.
* Pregnancy.
* Lack of decision-making capacity.

Conditions4

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