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
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Title Alternative | Two patients managed by palliative care for symptoms due to cervical lymph node recurrence of esophageal carcinoma
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Author |
Takechi, Hirokazu
Department of Thoracic, Endocrine Surgery and Oncology, institute of health Biosciences, the University of Tokushima
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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
Goto, Masakazu
Department of Surgery, Tokushima Red Cross Hospital
Tokushima University Educator and Researcher Directory
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Nishino, Takeshi
Department of Thoracic, Endocrine Surgery and Oncology, institute of health Biosciences, the University of Tokushima
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Furukita, Yoshihito
Department of Thoracic, Endocrine Surgery and Oncology, institute of health Biosciences, the University of Tokushima
Yoshida, Takahiro
Department of Thoracic, Endocrine Surgery and Oncology, institute of health Biosciences, the University of Tokushima
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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
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Tangoku, Akira
Department of Thoracic, Endocrine Surgery and Oncology, institute of health Biosciences, the University of Tokushima
Tokushima University Educator and Researcher Directory
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Keywords | Palliative care
Home care
Esophageal carcinoma
Gastrostomy
Morphine
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Content Type |
Journal Article
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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
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ISSN | 00373699
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NCID | AN00102041
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Publisher | 徳島医学会
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Volume | 69
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Issue | 3-4
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Start Page | 171
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End Page | 174
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Sort Key | 171
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Published Date | 2013-08-25
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EDB ID | |
FullText File | |
language |
jpn
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TextVersion |
Publisher
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departments |
University Hospital
Medical Sciences
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