{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T02:51:30Z","timestamp":1772160690090,"version":"3.50.1"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T00:00:00Z","timestamp":1730764800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Malignant bowel obstruction (MBO) presents with multiple symptoms. The 4\u2010step BOUNCED diet educates patients to self\u2010manage oral intake according to symptoms. It includes clear fluids, thin liquids, pur\u00e9e and soft, sloppy foods, which are low in fibre.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This mixed methods single\u2010arm feasibility study aimed to establish if the diet could reduce MBO symptoms in patients with inoperable colorectal and gynaecological malignancies. The secondary objectives were to investigate if it was easily followed, improved quality of life (QOL) and reduced hospital admissions. Patients able to tolerate an oral diet with one or more symptoms (pain, bloating, early satiety, nausea and vomiting) were eligible. Following informed consent, an oncology dietitian took a diet history and determined which step of the diet they needed to follow using a detailed patient information leaflet. Patients remained on the trial for 28 days. Symptom and QOL data were collected on Days 1 and 28 using the Memorial Symptom Assessment Scale and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC\u2010QLQ\u2010C30) questionnaires.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirty patients (24 female, 6 male) aged 18\u201385 years consented from March 2021 to November 2022. Twenty\u2010six participants completed the trial and 25 found the diet very easy or easy to understand. There was a significant reduction in pain from 96% on Day 1 to 63% on Day 28 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004). The mean increase of EORTC global health status\/QOL was 23.5 points, 95% CI (12.4\u201332.5) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009\u2264\u20090.001). There was a significant difference between number of admissions (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.018) and bed days (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004) in the 28 days prior to consent compared to the trial period.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A modified consistency low\u2010fibre diet is easily followed, may reduce symptoms of MBO, admissions to hospital and improve QOL.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.13388","type":"journal-article","created":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T06:38:49Z","timestamp":1730788729000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Management of inoperable malignant bowel obstruction using the 4\u2010step BOUNCED diet"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0474-7526","authenticated-orcid":false,"given":"Lindsey","family":"Allan","sequence":"first","affiliation":[{"name":"Department of Nutrition and Dietetics Royal Surrey NHS Foundation Trust Guildford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naomi","family":"Hatchett","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics Royal Surrey NHS Foundation Trust Guildford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7828-3122","authenticated-orcid":false,"given":"Simon S.","family":"Skene","sequence":"additional","affiliation":[{"name":"Surrey Clinical Trials Unit, School of Biosciences University of Surrey Guildford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate Bennett","family":"Eastley","sequence":"additional","affiliation":[{"name":"Surrey Clinical Trials Unit, School of Biosciences University of Surrey Guildford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7262-6227","authenticated-orcid":false,"given":"Agnieszka","family":"Michael","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics Royal Surrey NHS Foundation Trust Guildford UK"},{"name":"Surrey Clinical Trials Unit, School of Biosciences University of Surrey Guildford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,11,5]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2007.04.011"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.2147\/CMAR.S29297"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2008.02.028"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2006.06.014"},{"key":"e_1_2_11_6_1","volume-title":"Hospital Accident & Emergency Activity 2022\u201023","author":"NHS Digital","year":"2023"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2019.07.014"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2018.04.007"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/01635581.2016.1159702"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2022.12.003"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2021.02.005"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1200\/JOP.2017.022210"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ehmc.2016.02.005"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2004.09.058"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.3949\/ccjm.78a.10052"},{"key":"e_1_2_11_16_1","article-title":"Surgery for the resolution of symptoms in malignant bowel obstruction in advanced gynaecological and gastrointestinal cancer","volume":"1","author":"Cousins SE","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781119809128.ch20"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/0959-8049(94)90182-1"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/85.5.365"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000421-198212000-00014"},{"key":"e_1_2_11_21_1","volume-title":"EORTC QLQ\u2010C30 Scoring Manual","author":"Fayers PM","year":"2001"},{"key":"e_1_2_11_22_1","unstructured":"NHS Scotland and Healthcare Improvement Scotland: Scottish Palliative Care Guidelines. Bowel Obstruction.https:\/\/www.palliativecareguidelines.scot.nhs.uk\/guidelines\/symptom-control\/bowel-obstruction.aspx(2020). Accessed 20 Jan 2024."},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-022-06889-8"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/01635581.2020.1767165"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-029235"},{"key":"e_1_2_11_26_1","volume-title":"Delay in transit","year":"2020"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2014.09.010"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/01635581.2020.1784441"},{"key":"e_1_2_11_29_1","article-title":"Home parenteral nutrition for people with inoperable malignant bowel obstruction","volume":"8","author":"Sowerbutts AM","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2017.12.011"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12176"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCG.0000000000000041"},{"key":"e_1_2_11_33_1","first-page":"2798","article-title":"Management of malignant bowel obstruction with decompression tubes","volume":"18","author":"Hu LJ","year":"2014","journal-title":"Eur Rev Med Pharmacol Sci"}],"container-title":["Journal of Human Nutrition and Dietetics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jhn.13388","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T13:26:28Z","timestamp":1743773188000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jhn.13388"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,5]]},"references-count":32,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1111\/jhn.13388"],"URL":"https:\/\/doi.org\/10.1111\/jhn.13388","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/JHN.13388\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.13388\/v3\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.13388\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.13388\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.13388\/v2\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.13388\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.13388\/v3\/response1","asserted-by":"object"}]},"ISSN":["0952-3871","1365-277X"],"issn-type":[{"value":"0952-3871","type":"print"},{"value":"1365-277X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,5]]},"assertion":[{"value":"2024-02-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e13388"}}