Current Approaches to Diagnosing and Managing Constipation in Advanced Cancer and Palliative Care

被引:9
作者
Clark, Katherine [1 ,2 ]
Urban, Kat [3 ]
Currow, David C. [4 ]
机构
[1] Univ Notre Dame Australia, Cunningham Ctr Palliat Care, Sacred Heart Ctr, Darlinghurst, NSW 2010, Australia
[2] Royal Hosp Women, Darlinghurst, NSW, Australia
[3] Sydney Inst Palliat Care Sydney, Sydney, NSW, Australia
[4] Flinders Univ S Australia, Dept Support & Palliat Care, Adelaide, SA 5001, Australia
关键词
RADIOGRAPHY; DISORDERS;
D O I
10.1089/jpm.2009.0274
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
Constipation is common in advanced cancer. Despite this, clinicians' understanding of the underlying changes affecting the colon and the rest of the gastrointestinal tract are limited. Two case histories are used to illustrate the problems encountered when the current approaches to diagnosing and managing altered bowel habits are unsuccessful. An alternative paradigm in which to consider the problems of constipation encountered by some people with advanced cancer is proposed.
引用
收藏
页码:473 / 476
页数:4
相关论文
共 23 条
[1]  
*ALPH AUST PTY LTD, 2002, ACT PROD INF
[2]   THE ASSESSMENT OF CONSTIPATION IN TERMINAL CANCER-PATIENTS ADMITTED TO A PALLIATIVE CARE UNIT - A RETROSPECTIVE REVIEW [J].
BRUERA, E ;
SUAREZALMAZOR, M ;
VELASCO, A ;
BERTOLINO, M ;
MACDONALD, SM ;
HANSON, J .
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 1994, 9 (08) :515-519
[3]  
Candelli M, 2001, HEPATO-GASTROENTEROL, V48, P1050
[4]  
*CB FLEET CO AUST, 2007, FLEET PHOSPH SOD PRO
[5]  
*CB FLEET CO AUST, 2007, FLEET EAD US EN PROD
[6]  
*CONST TASK FORC, 2005, AM J GASTROENTEROL S, V1, pS1
[7]   Blinded comparison of faecal loading on plain radiography versus radio-opaque marker transit studies in the assessment of constipation [J].
Cowlam, S. ;
Vinayagam, R. ;
Khan, U. ;
Marsden, S. ;
Minty, I. ;
Moncur, P. ;
Bain, I. ;
Yiannakou, Y. J. .
CLINICAL RADIOLOGY, 2008, 63 (12) :1326-1331
[8]   Gastrointestinal stromal tumors (GIST): C-kit mutations, CD117 expression, differential diagnosis and targeted cancer therapy with imatinib [J].
de Silva, MV ;
Reid, R .
PATHOLOGY & ONCOLOGY RESEARCH, 2003, 9 (01) :13-19
[9]  
Eoff JC, 2008, J MANAGE CARE PHARM, V14, pS3
[10]   The effects of mechanical forces on intestinal physiology and pathology [J].
Gayer, Christopher P. ;
Basson, Marc D. .
CELLULAR SIGNALLING, 2009, 21 (08) :1237-1244