在晚期胃肠癌中治疗小肠阻塞的息性皮肤性胃口解压方法
Ahmed Alwali1, Clemens Schafmayer1
1Department of General, Visceral, Vascular, Thoracic, and Transplantation Surgery, Rostock University Medical Center, 18057 Rostock, Germany.
息性皮肤解压能有效缓解晚期胃肠道癌症的症状. 穿皮内镜胃口术 (PEG) 等技术为改善患者生活质量提供了定制解决方案.
科学领域:
- 胃肠病学 胃肠病学
- 干预性放射学 干预性放射学
- 抚慰性护理是一种缓解性护理.
背景情况:
- 恶性肠道阻塞 (MBO) 是晚期胃肠道癌症的重要并发症,严重影响患者的生活质量.
- 对于MBO的保守管理可能会失败,需要减轻压力的减压来缓解恶心,吐和腹部膨胀等症状.
- 虽然通风胃口是标准的,但解剖学上的挑战可能需要替代性的皮肤穿方法.
研究的目的:
- 审查通过皮肤进行胃口术的技术,以缓解胃肠道减压.
- 涵盖皮革内镜性胃口术 (PEG),成像引导性胃口术和皮革透过食道胃口术 (PTEG).
主要方法:
- 文献综述评价了穿皮胃口术程序的指示,技术,疗效和并发症.
- 探索涉及放射学,内镜和息护理的多学科方法的作用.
主要成果:
- 穿皮内镜胃口术 (PEG) 是黄金标准,在低并发症率的情况下,在高达92%的病例中实现症状缓解.
- 跨学科成像导向胃口术是改变解剖或难以进入的患者的替代方案.
- 皮肤穿越食道胃口术 (PTEG) 显示出很高的成功率和症状改善,特别是在不适合穿越腹部方法的情况下.
结论:
- 通过皮肤减压有效地管理了晚期胃肠癌的症状.
- 基于患者因素和资源的个性化技术选择至关重要.
- 多学科方法对于优化减压策略和提高末期恶性瘤患者的生活质量至关重要.
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