臨牀消化器内科 Vol.34 No.11(4-7)


特集名 胃癌診療2019―現状と課題
題名 胃癌治療の現状と課題 (7) 緩和療法
発刊年月 2019年 10月
著者 山本 貴嗣 帝京大学医学部内科学講座
【 要旨 】 胃癌治療において,緩和療法は病初期から重要な課題であり,病状の進行に伴ってその重要性は増加する.緩和療法の対象は,出血や閉塞など胃病変による症状,癌性腹膜炎など胃外病変に伴う症状,および進行した病態に伴う全身症状が含まれる.このような症状はいずれも,患者の生命予後のみならず生活の質に大きく影響を及ぼすことから,薬物療法など標準的治療に加えて,ステント等新たな治療手技についての知識を有し,参照しながら必要時に専門医へ適切に相談する能力が臨床医に求められる.
Theme Clinical Diagnosis and Management of Gastric Cancer 2019 -- Current Status and Issues
Title Current Status of Palliative Therapy in Gastric Cancer
Author Takatsugu Yamamoto Department of Medicine, Teikyo University School of Medicine
[ Summary ] In the treatment of gastric cancer, palliative therapy is an important issue from the early stage of the disease and its importance increases with the progress of the medical condition. Subjects for palliative treatment include those with symptoms due to gastric lesions such as bleeding and obstruction, symptoms associated with extragastric lesions such as cancerous peritonitis, and systemic symptoms associated with advanced disease states. All these symptoms affect not only the patient's prognosis but also the quality of life, so it is important to have knowledge of new treatment techniques such as stents, in addition to standard treatments such as drug therapy. The clinician is required to have the ability to properly consult a specialist when necessary.
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