ID 109632
Title Transcription
ショクドウガン ケイブ リンパセツ サイハツ ニヨル ショウジョウ ニ タイシテ カンワ ケア オ ジッセン シタ 2 ショウレイ
Title Alternative
Two patients managed by palliative care for symptoms due to cervical lymph node recurrence of esophageal carcinoma
Author
Takechi, Hirokazu Department of Thoracic, Endocrine Surgery and Oncology, institute of health Biosciences, the University of Tokushima Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Sakamoto, Shinichi Department of Surgery, Kochi Red Cross Hospital
Morishita, Atsushi Department of Thoracic, Endocrine Surgery and Oncology, institute of health Biosciences, the University of Tokushima
Nishino, Takeshi Department of Thoracic, Endocrine Surgery and Oncology, institute of health Biosciences, the University of Tokushima Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Furukita, Yoshihito Department of Thoracic, Endocrine Surgery and Oncology, institute of health Biosciences, the University of Tokushima
Yamamoto, Yota Department of Surgery, Tsurugi-Handa Hospital KAKEN Search Researchers
Yoshida, Takahiro Department of Thoracic, Endocrine Surgery and Oncology, institute of health Biosciences, the University of Tokushima Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Seike, Junichi Department of Thoracic, Endocrine Surgery and Oncology, institute of health Biosciences, the University of Tokushima
Takizawa, Hiromitsu Department of Thoracic, Endocrine Surgery and Oncology, institute of health Biosciences, the University of Tokushima Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Tangoku, Akira Department of Thoracic, Endocrine Surgery and Oncology, institute of health Biosciences, the University of Tokushima Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
Palliative care
Home care
Esophageal carcinoma
Gastrostomy
Morphine
Content Type
Journal Article
Description
Our department aggressively performs initial treatment for esophageal carcinoma with multidisciplinary approaches, and not only positively treats patients with recurrence or metastasis but also manages those in an advanced stage by following the wishes of patients and their families as much as possible. However, many patients with esophageal carcinoma develop digestive tract and tracheal problems with progression of the disease, and the palliation of symptoms and continuation of home care often become difficult. In such patients, it is important to secure and maintain the route of hydration and nutrition when oral fluid and food intake becomes difficult, and to control respiratory symptoms for the promotion of home care and palliation of symptoms in the terminal stage.
In this report, we present 2 patients managed by palliative care until death while supporting home care by maintaining enteral nutrition using gastrostomy for esophageal narrowing due to cervical lymph node recurrence, and controlling the cough reflex and dyspnea associated with the development of a cervical lymph node-tracheal fistula through morphine hydrochloride administration.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
69
Issue
3-4
Start Page
171
End Page
174
Sort Key
171
Published Date
2013-08-25
EDB ID
FullText File
language
jpn
TextVersion
Publisher
departments
University Hospital
Medical Sciences