進行性悪性疾患の患者で保守的に管理された消化不全の臨床および病理学的研究
N P Sykes1, M Baines, R L Carter
1St Christopher's Hospice, London.
Lancet (London, England)
|September 24, 1988
まとめ
この研究では,末期悪性疾患による不症の患者を紹介しています. 保守的な治療は,上空消化管腫瘍の患者の約60%で消化不全を改善しました.
科学分野:
- 腫瘍学 腫瘍学
- 胃腸内科 胃腸内科
- 緩和ケアとは,緩和ケアです.
背景:
- ディスファギーは,末期悪性疾患の患者の一般的な苦痛の症状です.
- 上部消化管の悪性腫瘍は,大きな飲み込み障害を引き起こす可能性があります.
研究 の 目的:
- 末期がんに関連した消化不全を経験している患者のシリーズを提示します.
- この患者集団における難食症の原因と結果を調査する.
主な方法:
- ディスファギアと末期悪性疾患を有する33人の患者の遡及的レビュー.
- 上部エアロ消化器管の腫瘍に関連した有機性消化不全の臨床評価.
- 閉塞性病変の解剖結果の分析.
- 保守的な治療の有効性の評価.
主要な成果:
- 末期悪性疾患に関連した消化不全を呈した33人の患者.
- 死体解剖を受けた患者の80%以上が局所的に阻害的な病変を持っていた.
- 保守的な治療だけでは,約60%の患者で,失調症の改善をもたらしました.
結論:
- 末期悪性疾患における消化不全は,上部空気消化管の阻害性病変によってしばしば引き起こされます.
- 保守的な管理は,これらの患者の有意な割合で,ディスファギーを効果的に軽減することができます.
- 緩和ケア戦略は,患者の生活の質を向上させるために,失調症に対処する必要があります.
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