经皮盲肠造口术缓解恶性肠梗阻

Palliation of malignant bowel obstruction using a percutaneous cecostomy.

作者信息

Howie Sebastian B, Amigo Pablo H, O'Kelly Kevin, Fainsinger Robin L

机构信息

Division of Palliative Care Medicine, University of Alberta, Royal Alexandra Hospital, 10240 Kingsway, Edmonton, Alberta, Canada T5H 3V9.

出版信息

J Pain Symptom Manage. 2004 Mar;27(3):282-5. doi: 10.1016/j.jpainsymman.2003.07.005.

DOI:10.1016/j.jpainsymman.2003.07.005

PMID:15038342

Abstract

Bowel obstruction is a common complication of metastatic gastrointestinal and ovarian cancers, and can cause distressing symptoms. Along with medical options, surgical options should be considered in all patients with bowel obstruction, including percutaneous gastrostomy. We report the case of a patient with metastatic colon cancer with an obstructing recurrence at the primary site who was not eligible for major surgery or percutaneous gastrostomy and was managed with a percutaneous cecostomy for symptom control.

摘要

肠梗阻是转移性胃肠道癌和卵巢癌的常见并发症，可导致令人痛苦的症状。除了内科治疗方案外，所有肠梗阻患者都应考虑手术治疗方案，包括经皮胃造口术。我们报告了一例转移性结肠癌患者的病例，该患者原发部位出现梗阻性复发，不符合大手术或经皮胃造口术的条件，通过经皮盲肠造口术进行症状控制。