חסימת מעיים בחולה סרטן במצב סופני - האם ניתן לטפל בבית?

Translated title of the contribution: Management of malignant bowel obstruction in terminal care--is home care possible?

מנחם ששון, פסח שוורצמן

    Research output: Contribution to journalArticlepeer-review

    1 Scopus citations

    Abstract

    Malignant bowel obstruction occurs in about 10% of those with advanced abdominal cancer and in about 25% of those with advanced pelvic cancer. Such patients usually develop nausea, vomiting, constipation, abdominal dilatation and colicky pain. Traditional therapy consists of intravenous fluids and decompression by duodenal tube, gastrostomy or operation but postoperative mortality is high. Treatment requires hospitalization and therefore such patients have not been considered candidates for home care. Palliative medical techniques can cope with this syndrome and allow home care. Hypodermoclysis, non-prokinetic antiemetics like haloperidol and scopolamine, octeotride, corticosteroids, and narcotics for severe abdominal pain can alleviate symptoms. Medications can be combined and infused subcutaneously in a syringe driver and patients can remain with their families in their natural environment. Such techniques can give these patients who have short life expectancies reasonable quality of life.
    Translated title of the contributionManagement of malignant bowel obstruction in terminal care--is home care possible?
    Original languageHebrew
    Pages (from-to)757-759
    Number of pages3
    Journalהרפואה
    Volume134
    Issue number10
    StatePublished - 15 May 1998

    ASJC Scopus subject areas

    • Medicine (all)

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