The study aimed to determine whether surgical or non-surgical therapy was superior for patients suffering from malignant bowel obstruction (MBO), a frequent consequence of advanced abdominal cancer. The experiment involved 221 eligible patients, with roughly a quarter randomly allocated to either surgery or non-surgical care. The major outcome assessed in the first three months was the number of “good days—days when patients were alive and out of the hospital. The researchers discovered no statistically significant difference between the two treatment techniques in terms of happy days. However, compared to non-surgical therapy, surgery appeared to have some advantages, with patients reporting better symptom control for vomiting, constipation, nausea, and pain following surgery. While surgery did not enhance the number of happy days, it did assist.

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