Endoscopic palliation and nutritional support in advanced gastric cancer

被引：7
作者：
Dormann, AJ [1 ]
机构：
[1] Kliniken Stadt Koln GmbH, Krankenhaus Holwelde, Med Klin, Dept Med, DE-51058 Cologne, Germany
来源：
DIGESTIVE DISEASES | 2004年 / 22卷 / 04期
关键词：
gastric outlet obstruction; self-expanding metal stents; malignant stricture; gastrointestinal stents; percutaneous endoscopic gastrostomy; enteral nutrition; introducer long-term nutrition; skin jejunal nutrition; nasoenteral tube; cachexia;
D O I：
10.1159/000083598
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Most of the patients with advanced gastric cancer have incurable disease at presentation and require palliative treatment to reduce symptoms as vomiting, nausea and inability to eat. Treatment options are palliative surgery and endoscopic techniques. Insertion of self-expanding metal stents is nowadays a well-established method of treating biliary and esophageal strictures and is also effective in gastric tumors. The indication and application technique are described in this review. In addition, enteral nutrition is indicated if the gastrointestinal tract functions but swallowing or mastication is compromised by disease or if it is needed to pass an obstructed area, especially in gastric tumor patients. This article reviews the enteral nutrition techniques and their clinical value for patients with advanced gastric cancer. Copyright (C) 2004 S. Karger AG, Basel.
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收藏
页码：351 / 359
页数：9
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