在晚期癌症中通过皮肤进行胃口术
José António Ferraz-Gonçalves1, Susana Amaral2, Filipa Pereira3
1Faculdade de Medicina da Universidade do Porto, Porto, Portugal.
Porto biomedical journal
|December 14, 2023
概括
穿皮内镜胃口术 (PEG) 和穿皮放射性胃口术 (PRG) 是晚期癌症患者的常见手术. PEG是最常见的方法,并发症包括疼痛和局部出血.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 干预性放射学 干预性放射学
背景情况:
- 胃口术对于晚期癌症患者的营养支持至关重要.
- 穿皮内镜胃口术 (PEG) 和穿皮放射性胃口术 (PRG) 是胃口术放置的主要方法.
研究的目的:
- 分析晚期癌症患者进行的胃口切除术的特征,结果和并发症.
- 在这个患者队列中确定与生存相关的因素.
主要方法:
- 对164名在2017年经过胃口切除术的晚期癌症患者的回顾性分析.
- 收集的数据包括患者人口统计,癌症诊断,胃口术的原因,手术类型,并发症和生存状态.
主要成果:
- 大多数患者是男性 (84%),平均年龄为60岁,主要是ECOG表现状态1 (45%) 和头癌 (77%).
- 缺食是主要的适应症 (81%). PEG (74%) 比PRG (25%) 更常见.
- 早期和晚期并发症分别发生在52%和55%的患者中,局部疼痛是最常见的 (80%早期,63%晚期). 淋巴结转移和ECOG性能状况与生存相关.
结论:
- 胃口切除术经常在ECOG表现第一阶段的头癌患者中进行,这些患者经历了食障碍.
- 穿皮内镜胃口术 (PEG) 是主要的手术,尽管早期和晚期并发症的发生率很高,主要是局部疼痛.
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