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閲覧数:236
ID 41967365
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本文 TohoJMed002004113.pdf
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タイトル Percutaneous Endoscopic Gastrostomy and Percutaneous Transesophageal Gastrotubing for Palliative Treatment of Malignant Bowel Obstruction
著者
Yoichi, Nakamura
Palliative Care Team, Toho University Ohashi Medical Center, Division of General and Gastroenterological Surgery (Ohashi), Department of Surgery, School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Ryohei, Watanabe
Division of General and Gastroenterological Surgery (Ohashi), Department of Surgery, School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Miwa, Katagiri
Division of General and Gastroenterological Surgery (Ohashi), Department of Surgery, School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Yoshihisa, Saida
Division of General and Gastroenterological Surgery (Ohashi), Department of Surgery, School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Natsuya, Katada
Division of General and Gastroenterological Surgery (Ohashi), Department of Surgery, School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Manabu, Watanabe
Division of General and Gastroenterological Surgery (Ohashi), Department of Surgery, School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Koji, Asai
Division of General and Gastroenterological Surgery (Ohashi), Department of Surgery, School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Toshiyuki, Enomoto
Division of General and Gastroenterological Surgery (Ohashi), Department of Surgery, School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Takaharu, Kiribayashi
Division of Chest Surgery (Ohashi), Department of Surgery, School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Shinya, Kusachi
Division of General and Gastroenterological Surgery (Ohashi), Department of Surgery, School of Medicine, Faculty of Medicine, Toho University, Division of Chest Surgery (Ohashi), Department of Surgery, School of Medicine, Faculty of Medicine, Toho Univers
[役割]Author
出版地 Tokyo
出版者 The Medical Society of Toho University
上位タイトル
Toho Journal of Medicine (Toho Journal of Medicine). Vol.2, No.4  (2016. 12) ,p.113- 118
識別番号
ISSN
21891990
JaLCDOI info:doi/10.14994/tohojmed.2016.015
抄録 We performed a systematic review of the therapeutic effects of percutaneous endoscopic gastrostomy (PEG) and percutaneous transesophageal gastrotubing (PTEG) for decompression in patients with terminal cancer. We searched the PubMed and Japanese Igaku-Chuo-Zasshi databases for studies of PEG or PTEG for decompression in patients with malignant bowel obstruction (MBO). Previous systematic reviews, randomized controlled trials, observational studies, and case series were included. None of the systematic reviews included a high-quality meta-analysis. There were no randomized controlled trials. Our review included 17 observational studies of PEG and nine observational studies of PTEG. Among a total of 795 patients, the rate of successful PEG tube placement for MBO decompression was 95.1%. Among a total of 187 patients, the rate of successful PTEG placement was 97.3%. The overall rates of patients who experienced relief of distressing symptoms of MBO after PEG and PTEG were 87.0% and 97.0%, respectively. Among 441 patients who underwent PEG and for whom follow-up data were available, 75.3% were able to resume oral intake. The combined rates of complications after PEG and PTEG were 16.3% and 16.2%, respectively. There have been no high-quality studies of PEG or PTEG, but such studies are expected in the future.
キーワード
percutaneous endoscopic gastrostomy
percutaneous transesophageal gastrotubing
malignant bowel obstruction
palliative care
注記 Review Article
言語
eng
資源タイプ TOHO University Scholarly Publication
ジャンル Journal Article
著者版フラグ publisher
アクセス条件 東邦大学医学会
Index
/ Public / Toho Journal of Medicine / Vol.2 / No.4(p.106-128)
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