Bolnik s karcinomom požiralnika z vstavljeno samoraztezno kovinsko opornico : prikaz primera
Ureditev prehranskega statusa je eden glavnih ciljev pri bolnikih z rakom požiralnika, saj ima pomemben vpliv na potek in uspeh zdravljenja. Zaradi pogostega pojava disfagije in oteženega uživanja hrane skozi usta je pogosto treba že pred začetkom zdravljenja vzpostaviti prehransko pot. Izkazalo se je, da sta pri bolnikih na radikalnem zdravljenju, to je z namenom ozdravitve, NGS in perkutana hranilna stoma superiorni samorazteznim kovinskim opornicam. Čeprav samoraztezne kovinske opornice omogočajo hitro izboljšanje disfagije, so zaradi pogostih zapletov, tudi življenje ogrožajočih, primerne predvsem v sklopu paliativnega zdravljenja. V prispevku je opisan primer bolnika z rakom požiralnika na predoperativnem zdravljenju s predhodno vstavljeno samoraztezno kovinsko opornico.
Regulation of nutritional status is one of the main goals in patients with oesophageal carcinoma, as it has a significant impact on the course and success of treatment. Because of the frequent occurrence of dysphagia and difficulty in oral food intake, it is often necessary to establish an alternative feeding route before starting treatment. Nasogastric and percutaneous feeding tubes have been shown to be superior to self-expandable metal stents in patients on curative treatment. Despite self-stretching metal stents, which allow a rapid improvement of dysphagia, they are suitable mainly as part of palliative treatment due to frequent, possibly even life-threatening complications. In this paper, a case of an oesophageal carcinoma patient with an inserted self-expandable metal stent receiving neoadjuvant treatment is reported.
by Authors
2021
2021-06-10 13:14:39
1060
rak požiralnika, disfagija, samoraztezna kovinska opornica
oesophageal carcinoma, dysphagia, self-expandable metal stent
Anja
Meden Boltežar
70
Tomaž
Štupnik
70
Vaneja
Velenik
70
UDK
4
616.3
ISSN pri članku
9
1408-1741
DOI
15
10.25670/oi2021-007on
COBISS_ID
3
65088771
RAZ_Meden_Anja_i2021.pdf
603454
Predstavitvena datoteka
2021-06-10 13:21:15