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经皮内镜下胃造瘘术(PEG)用于无法手术的肠梗阻的姑息性减压引流

[Percutaneous endoscopic gastrostomy (PEG) for palliative decompression drainage in inoperable ileus].

作者信息

Ritz M A, Arn M, Ballmer P E, Jost R

机构信息

Abteilung für Gastroenterologie, Kantonsspital Winterthur.

出版信息

Schweiz Med Wochenschr. 2000 Nov 4;130(44):1699-701.

Abstract

Bowel obstruction, causing repetitive vomiting and reduced quality of life, is a common complication in patients with intraabdominal malignancies. Conservative treatment with nasogastric tubes is limited by patient discomfort. Antisecretory drug treatment with octreotide may be insufficient. We describe the application of percutaneous endoscopic gastrostomy (PEG) in 3 terminally ill cancer patients as simple and effective method for decompression in the upper gastrointestinal tract.

摘要

肠梗阻会导致反复呕吐并降低生活质量,是腹腔内恶性肿瘤患者的常见并发症。鼻胃管保守治疗受患者不适的限制。使用奥曲肽的抗分泌药物治疗可能并不充分。我们描述了经皮内镜下胃造口术(PEG)在3例晚期癌症患者中的应用,这是一种用于上消化道减压的简单有效的方法。

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