臨床外科70巻13号

2015年12月発行

特集 外科医に求められる積極的緩和医療—延命と症状緩和の狭間で

臓器別：緩和手術・処置の実際

胆道癌・膵癌における緩和手術—内視鏡的緩和処置

著者： 山本健治郎¹ 糸井隆夫¹ 祖父尼淳¹ 土屋貴愛¹ 辻修二郎¹ 鎌田健太郎¹ 田中麗奈¹ 殿塚亮祐¹ 本定三季¹ 向井俊太郎¹ 藤田充¹ 森安史典¹

所属機関： ¹東京医科大学臨床医学系消化器内科学分野

ページ範囲：P.1474 - P.1482

文献概要

【ポイント】
◆進行膵・胆道癌に伴う胆道閉塞，消化管閉塞，神経性疼痛に対する内視鏡的処置は安全かつ効果的な緩和処置である．
◆近年，超音波内視鏡ガイド下の処置が開発され，進行膵・胆道癌患者のQuality of lifeの向上に寄与している．

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