恶性肠梗阻的治疗

陈彻, 李幼生

陈彻, 李幼生. 恶性肠梗阻的治疗[J]. 实用临床医药杂志, 2005, (9): 43-45. DOI: 10.3969/j.issn.1672-2353.2005.09.008
引用本文: 陈彻, 李幼生. 恶性肠梗阻的治疗[J]. 实用临床医药杂志, 2005, (9): 43-45. DOI: 10.3969/j.issn.1672-2353.2005.09.008
CHEN Che, LI You-sheng. The treatment for vicious ileus[J]. Journal of Clinical Medicine in Practice, 2005, (9): 43-45. DOI: 10.3969/j.issn.1672-2353.2005.09.008
Citation: CHEN Che, LI You-sheng. The treatment for vicious ileus[J]. Journal of Clinical Medicine in Practice, 2005, (9): 43-45. DOI: 10.3969/j.issn.1672-2353.2005.09.008

恶性肠梗阻的治疗

详细信息
  • 中图分类号: R574.2

The treatment for vicious ileus

  • 摘要: 晚期癌症患者,尤其是腹部或盆腔肿瘤的患者,肠梗阻是常见的并发症,此种肠梗阻一般称为恶性肠梗阻(MBO).晚期妇科恶性肿瘤患者肠梗阻的发生率为5%~51%,其中尤以卵巢癌患者常见,且常是致患者死亡的原因[1].晚期结肠癌、直肠癌肠梗阻的发生率为4%~24%.恶性肠梗阻可以由肿瘤本身引起(腔内或腔外肿瘤生长),也可能由于良性原因引起,如肠粘连、放疗后肠损伤、炎性肠病和内疝.在结肠癌、直肠癌中,良性病因引起的肠梗阻占了一半,而在妇科肿瘤中仅占6%[2].胃肠道肿瘤由于单纯肿瘤阻塞导致的肠梗阻、可手术治愈者不在本文讨论之列.
  • Ripamonti C, Bruera E. Palliative management of malignant bowel obstruction [J]. International Journal of Gynecological Cancer, 2002(2):135.
    Carla R, Robert T, Mary B. Clinical-practice recommendations for the management of bowel obstruction in patients with end-stage cancer [J]. SUPPORTIVE CARE IN CANCER, 2001.223.
    Fainsinger R L, Spachynski K, Hanson J. Symptom control in terminally ill patients with malignant bowel obstruction [J]. Journal of Pain and Symptom Management, 1994.12.doi: 10.1016/0885-3924(94)90141-4.
    Ventafridda V, Ripamonti C, Caraceni A. The management of inoperable gastroin-testinal obstruction in terminal cancer patients [J]. Tumori, 1990.389.
    Mercadante S. Pain in inoperable bowel obstruction [J]. Pain Digest, 1995.9.
    Feuer D J, Broadley K E, Shepherd J H, Barton D P. Systematic review of surgery in malignant bowel obstruction in advanced gynecological and gastrointestinal cancer [J]. Gynecologic Oncology, 1999, (3):313.
    Higashi H, Shida H, Ban K, Yamagata S Masuda K Imanari T Yamamoto T. Factors affecting successful palliative surgery for malignant bowel obstruction due to peritoneal dissemination from colorectal cancer [J]. Japanese Journal of Clinical Oncology, 2003(7):357.doi: 10.1093/jjco/hyg061.
    Blair S L, Chu D Z, Schwarz R E. Outcome of palliative operations for malignant bowel obstruction in patients with peritoneal carcinomatosis from nongynecological cancer [J]. Annals of Surgical Oncology, 2001(8):632.doi: 10.1007/s10434-001-0632-1.
    Woolfson R G, Jennings K, Whalen G F. Management of bowel obstruction in patients with abdominal cancer [J]. Archives of Surgery, 1997.1093.
    Harris G J C, Senagore A J, Lavery I C, Fazio V W. The management of neoplastic colorectal obstruction with colonic endoluminal stenting devices [J]. American Journal of Surgery, 2001, (6):499.doi: 10.1016/S0002-9610(01)00622-5.
    Soetikno R M, Carr-Locke D L. Expandable metal stents for gastric outlet, duodenal, and small intestinal obstruction [J]. Gastrointestinal Endoscopy Clinics of North America, 1999.447.
    Campagnutta E, Cannizzaro R. Percutaneous endoscopic gastrostomy(PEG) in palliative treatment of non-operable intestinal obstruction due to gynecologic cancer:a review [J]. European Journal of Gynaecological Oncology, 2000.397.
    Ripamonti C, Mercadante S, Groff L, Zecca E, De Conno F, Casuccio A. Role of octreotide, scopolamine butylbromide and hydration in symptom control of patients with inoperable bowel obstruction having a nasogastric tube.A prospective randomized clinical trial [J]. Journal of Pain and Symptom Management, 2000, (1):23.doi: 10.1016/S0885-3924(99)00147-5.
    Mercadante S, Ripamonti C, Casuccio A, Zecca E, Groff L. Comparison of octreotide and hyoscine butylbromide in controlling gastrointestinal symptoms due to malignant inoperable bowel obstruction [J]. Supportive Care in Cancer, 2000.188.
    Fainsinger R L, Spachynski K, Hanson J. Symptom control in terminally ill patients with malignant bowel obstruction [J]. Journal of Pain and Symptom Management, 1994.12.doi: 10.1016/0885-3924(94)90141-4.
    Twycross R, Back I. Nausea and vomiting in advanced cancer [J]. Eur J Palliat Care, 1998.39.
    Mercadante S. Pain in inoperable bowel obstruction [J]. Pain Digest, 1995.9.
    McCann R M, Hall W J, Groth-Juncker A. Comfort care for terminally ill patients.The appropriate use of nutrition and hydration [J]. Journal of the American Medical Association, 1994.1263.
    Philip J, Depczynski B. The role of total parenteral nutrition for patients with irreversible bowel obstruction secondary to gynecological malignancy [J]. Journal of Pain and Symptom Management, 1997.104.doi: 10.1016/S0885-3924(96)00269-2.
    Bozzetti F, Amadori D, Bruera E, Cozzaglio L, Corli O, Filiberti A. Guidelines on artificial nutrition versus hydration in terminal cancer patients [J]. Nutrition, 1996.163.doi: 10.1016/S0899-9007(96)91120-X.
    Cozzaglio L, Balzola F, Cosentino F. Outcome of cancer patients receiving home parenteral nutrition [J]. Journal of Parenteral and Enteral Nutrition, 1997.339.
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  • 发布日期:  2005-11-30

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