دورية أكاديمية
Gastrostomy tubes in patients with recurrent gynaecological cancer and intestinal obstruction.
| العنوان: | Gastrostomy tubes in patients with recurrent gynaecological cancer and intestinal obstruction. |
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| المؤلفون: | Tsahalina E; The Royal Marsden Hospital, London, UK., Woolas RP, Carter PG, Chan F, Gore ME, Blake PM, Shepherd JH, Barton DP |
| المصدر: | British journal of obstetrics and gynaecology [Br J Obstet Gynaecol] 1999 Sep; Vol. 106 (9), pp. 964-8. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Blackwell Scientific Publications Country of Publication: England NLM ID: 7503752 Publication Model: Print Cited Medium: Print ISSN: 0306-5456 (Print) Linking ISSN: 03065456 NLM ISO Abbreviation: Br J Obstet Gynaecol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Oxford : Blackwell Scientific Publications Original Publication: London. |
| مواضيع طبية MeSH: | Gastrostomy/*instrumentation , Genital Neoplasms, Female/*surgery , Intestinal Obstruction/*surgery, Acute Disease ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Chronic Disease ; Enteral Nutrition ; Female ; Genital Neoplasms, Female/complications ; Humans ; Intestinal Obstruction/etiology ; Middle Aged ; Neoplasm Recurrence, Local ; Retrospective Studies |
| مستخلص: | Objective: Women with recurrent gynaecological cancers who are not suitable for exenterative surgery commonly present with gastrointestinal dysfunction. This paper is a retrospective review of the use of gastrostomy tubes in such women. Methods: We performed a chart review of women with recurrent gynaecological cancer who had a gastrostomy tube placed between January 1991 and April 1998. Results: Thirty-nine women (mean age 53.2 years, range 17-82) had a gastrostomy tube placed. Twenty-eight (72%) had ovarian cancer, eight (21%) had cervical cancer, two had endometrial cancer and one had vaginal cancer. In 14 women a gastrostomy tube was placed as the sole procedure for palliation (11 elective, 3 emergency). In the remaining 25 women, who underwent major surgery, a gastrostomy tube was placed in anticipation of, or in the presence of, significant intestinal distension and expected prolonged post-operative ileus. Eleven women (28%) died without leaving hospital after their operation (median 11 days, range 2-36). All but one of the 28 women who left hospital had satisfactory oral intake. Twenty-one women (54%) died with the gastrostomy tube in place (median 28 days, range 2-157) and 18 (46%) had the gastrostomy tube removed (median 14.5 days, range 9-180), 13 of whom (33%) have since died (median 167 days, range 77 days-7 years). Five women (13%) are alive (median 2.2 years, range 10 months-4.5 years). There were no problems which required the gastrostomy tube to be removed. Conclusion: Gastrostomy tubes have an important role in the treatment of women with recurrent gynaecological cancer, allowing gastric drainage and decompression without the disadvantages of nasogastric tubes. |
| تواريخ الأحداث: | Date Created: 19990924 Date Completed: 19991028 Latest Revision: 20190719 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1111/j.1471-0528.1999.tb08438.x |
| PMID: | 10492110 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 0306-5456 |
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| DOI: | 10.1111/j.1471-0528.1999.tb08438.x |