Baekke Janne, Meisner Søren, Bentsen Helle Hvarness
Bentsen Odense Universitetshospital, Palliativt Team Fyn, Onkologisk Afdeling R.
Ugeskr Laeger. 2007 Oct 29;169(44):3759-62.
Far-advanced cancer patients often have gastrointestinal symptoms. Many of these symptoms are reversible. In this report the causes and treatment options of the most frequent symptoms are demonstrated. Symptoms are dry mouth, anorexia, dysphagia, nausea and vomiting, bowel obstruction, constipation, gall bladder obstruction and bleeding. Focus is on the most challenging symptoms in daily practice, which are nausea, vomiting and bowel obstruction. Ethical dilemmas are often involved. Randomised trials are needed since evidence for treatment is sparse.
晚期癌症患者常常出现胃肠道症状。其中许多症状是可逆的。在本报告中,展示了最常见症状的病因及治疗选择。症状包括口干、厌食、吞咽困难、恶心呕吐、肠梗阻、便秘、胆囊梗阻和出血。重点关注日常实践中最具挑战性的症状,即恶心、呕吐和肠梗阻。这常常涉及伦理困境。由于治疗证据不足,需要进行随机试验。