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胃皮革胃的管理:收好手术刀。

Managing Gastric Linitis Plastica: Keep the scalpel sheathed.

作者信息

Jafferbhoy Sadaf, Shiwani Hanif, Rustum Quatullah

机构信息

Department of General Surgery, Barnsley General Hospital National Health Service Foundation Trust, Barnsley, UK.

出版信息

Sultan Qaboos Univ Med J. 2013 Aug;13(3):451-3. Epub 2013 Jun 25.

Abstract

Gastric linitis plastica is a diffuse type of cancer which is characterised by a thickening and rigidity of the stomach wall. It is notorious for its failure to cause early symptoms, and patients with symptoms generally have a more advanced form of the disease. We report our 18-month-long experience of managing gastric linitis plastica at Barnsley District General Hospital, UK. In our series of 8 patients, only one patient was offered surgery; the rest were offered palliative or supportive treatment. The findings in our series were consistent with the available evidence that curative treatment is not an option for the majority of cases with linitis plastica.

摘要

皮革胃是一种弥漫型癌症,其特征是胃壁增厚和僵硬。它因未能引起早期症状而声名狼藉,出现症状的患者通常病情已发展到更严重的阶段。我们报告了在英国巴恩斯利区综合医院管理皮革胃的18个月经验。在我们的8例患者系列中,只有1例患者接受了手术;其余患者接受了姑息或支持治疗。我们系列中的研究结果与现有证据一致,即对于大多数皮革胃病例,根治性治疗并非一种选择。

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