Octreotide may prevent definitive intestinal obstruction

被引:25
作者
Mercadante, S [1 ]
Kargar, J [1 ]
Nicolosi, G [1 ]
机构
[1] BUCCHERI LA FERLA FATEBENEFRATELLI HOSP, DEPT ANESTHESIA & INTENS CARE, PALERMO, ITALY
关键词
octreotide; bowel obstruction; subobstruction; advanced cancer; palliative care;
D O I
10.1016/S0885-3924(97)00084-5
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Partial Dowel obstruction is indistinguishable om definitive obstruction at the onset of symptoms. No consensus exists regarding the treatment of potentially reversible states of bowel obstruction. On the basis of previous experience, octreotide was used in two patients with chronic intestinal obstruction, resulting in good control of intestinal symptoms and maintenance of a prolonged adequate intestinal transit, preventing the occurrence of definitive bowel obstruction. The results observed stress the early use of octreotide in such delicate clinical situations. (C) U.S. Cancer Pain Relief Committee, 1997.
引用
收藏
页码:352 / 355
页数:4
相关论文
共 9 条
[1]   DOES VASOACTIVE INTESTINAL POLYPEPTIDE MEDIATE THE PATHO-PHYSIOLOGY OF BOWEL OBSTRUCTION [J].
BASSON, MD ;
FIELDING, LP ;
BILCHIK, AJ ;
ZUCKER, KA ;
BALLANTYNE, GH ;
SUSSMAN, J ;
ADRIAN, TE ;
MODLIN, IM .
AMERICAN JOURNAL OF SURGERY, 1989, 157 (01) :109-115
[2]   SYMPTOM CONTROL IN TERMINALLY ILL PATIENTS WITH MALIGNANT BOWEL OBSTRUCTION (MBO) [J].
FAINSINGER, RL ;
SPACHYNSKI, K ;
HANSON, J ;
BRUERA, E .
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 1994, 9 (01) :12-18
[3]   PALLIATION OF MALIGNANT INTESTINAL-OBSTRUCTION USING OCTREOTIDE [J].
KHOO, D ;
HALL, E ;
MOTSON, R ;
RILEY, J ;
DENMAN, K ;
WAXMAN, J .
EUROPEAN JOURNAL OF CANCER, 1994, 30A (01) :28-30
[4]   Octreotide prevents the pathological alterations of bowel obstruction in cancer patients [J].
Mercadante, S ;
Avola, G ;
Maddaloni, S ;
Salamone, G ;
Aragona, F ;
Rodolico, V .
SUPPORTIVE CARE IN CANCER, 1996, 4 (05) :393-394
[5]  
MERCADANTE S, 1997, SUPPORTIVE CARE MED, V1
[6]  
MERCADANTE S, 1995, PAIN DIGEST, V5, P9
[7]  
Mercadante Sebastiano, 1993, Palliative Medicine, V7, P295
[8]  
STEINER N, 1991, MED HYG, V49, P1182
[9]   CRITICAL OPERATIVE MANAGEMENT OF SMALL BOWEL OBSTRUCTION [J].
STEWARDSON, RH ;
BOMBECK, CT ;
NYHUS, LM .
ANNALS OF SURGERY, 1978, 187 (02) :189-193