Percutaneous endoscopic gastrostomy in patients with advanced colorectal cancer clinical application of intestinal obstruction.docVIP

 PAGE \* MERGEFORMAT 8 Percutaneous endoscopic gastrostomy in patients with advanced colorectal cancer clinical application of intestinal obstruction [Keywords:] percutaneous endoscopic gastrostomy colorectal obstruction In patients with advanced cancer, especially in patients with abdominal or pelvic tumors, intestinal obstruction is a common complication, rely mainly on support for non-surgical palliative treatment. Intractable nausea, vomiting, one of its main clinical symptoms, most patients need long-term use of nasogastric decompression, seriously affecting the patient’s quality of life. percutaneous endoscopic gastrostomy (PEG, the advantage of simple, safe, effective, less complications and nursing convenience. As a long way to support the application of enteral nutrition , the drainage effect is good, but also for palliative decompression treatment. In this paper, PEG in 46 patients with advanced colorectal cancer patients with bowel obstruction application of palliative supportive care, focusing on ways to observe it as the safety and efficacy of gastrointestinal decompression and obstruction of patients with advanced colorectal cancer quality of life. Materials and Methods 1. General Information of this group 32 males and 14 females, aged 35 to 82 years, mean 62.8 years, 33 patients over 60 years old. Obstruction time 10 ~ 72 h, 24 h 31 cases (67.4%, paroxysmal abdominal pain 33 cases (71.7%, abdominal distension, 35 cases (76.1%, nausea and vomiting in 28 cases (60.9%, abdominal mass in 7 cases (15.2%, rectal tumor in 1 case (2.2%, bloody stool in 3 cases (6.5%, to stop defecation row gas in 13 cases (28.3%, bowel sounds decreased or disappeared in 18 cases (39.1% .46 cases, 22 cases (47.8% show obvious symptoms of intestinal paralysis and poisoning, water and electrolyte imbalance and acidosis. Preoperative anteroposterior abdominal film, are shown the performance of different degrees of colonic obstruction, barium enema and colonoscop