宫胃去压管:对于不可手术的恶性肠道阻塞的安全性和疗效结果
Sujay S Shankar1, Min P Kim2, Edward Y Chan2
1Texas A&M School of Engineering Medicine, Houston, TX, USA; Department of Surgery, Houston Methodist Hospital, Houston, TX, USA.
Annals of palliative medicine
|September 11, 2024
概括
宫食胃解压管 (CEG) 为恶性肠道阻塞提供了与鼻胃管相比的舒适替代方案. 这种息解决方案使患者能够接受化疗并回家,改善生命终端护理.
科学领域:
- 抚慰性护理是一项非常重要的护理.
- 胃肠病学 胃肠病学
- 干预性放射学是干预性的放射学.
背景情况:
- 恶性肠道阻塞会导致恶心和疼痛等严重症状,往往需要鼻胃管减压.
- 鼻胃管可能不舒服,需要住院治疗,影响终身护理.
- 宫食胃解压管 (CEG) 是一种潜在的息替代方案.
研究的目的:
- 为了评估使用CEG减压管在患有不可手术的恶性肠道阻塞的患者的结果.
主要方法:
- 在2016-2022年期间接受CEG管治疗恶性肠道阻塞的11名患者的回顾性审查.
- 通过穿越宫内镜方法,通过皮肤进行了CEG管的安置.
主要成果:
- 在所有患者中,皮肤穿透的手术成功完成.
- 手术发病率为27% (管道脱,局部细胞炎,出血),不需要重新手术.
- 82%的患者被送回家,而73%的患者可以继续化疗;手术后平均存活时间为四个月.
结论:
- 消压管是恶性肠道阻塞的安全息选择.
- 这种方法提高了患者的舒适度,促进了出院,并允许继续进行化疗.
- 在终身护理中,CEG管为鼻胃管提供了可行的替代方案.
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