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Endoscopic Ultrasonography-guided Gastrojejunostomy for Patients with Gastric Outlet Obstruction and Pyloric Metal Stent Dysfunction

Korean J Gastroenterol. 2022 Jun 25;79(6):260-264. doi: 10.4166/kjg.2022.045.ABSTRACTA 52-year-old woman with a gastric outlet obstruction (GOO) caused by pyloric cancer underwent pyloric endoscopic self-expandable metal stent (SEMS) insertion. She presented with abdominal distension 40 days later. The SEMS was dysfunctional, and endoscopic ultrasound-guided gastrojejunostomy (EUS-GJ) was performed using an endoscopic nasobiliary drainage tube. A 16 mm×31 mm Niti-S ™ HOT SPAXUS™ (TaeWoong Medical, Gimpo, Korea) was inserted successfully between the stomach and the adjacent jejunum. After the procedure, the patient had a good oral intake for more than seven months. GOO is a mechanical obstructive condition caused by various benign…
Origen: Endoscopic Ultrasonography-guided Gastrojejunostomy for Patients with Gastric Outlet Obstruction and Pyloric Metal Stent Dysfunction – PubMed

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Symptom monitoring by patients with a psychiatric disorder in palliative care

Tijdschr Psychiatr. 2022;64(6):359-365.ABSTRACTBACKGROUND: Hardly any research has been conducted into systematic symptom monitoring in palliative care for patients with a psychiatric disorder.<br> AIM: To gain insight into the usefulness of the Utrecht Symptom Diary (USD) and the symptom burden of patients with a psychiatric disorder in the palliative phase.<br> METHOD: A pragmatic retrospective study using completed USDs by patients (USD-P) and/or caregivers (USD-Z) at the palliative unit and three clinical departments of geriatric psychiatry of GGz Centraal, from October 2011 to January 2018. Analysis was performed using completed USDs, from 3 months to 14 days before death and &le; 14…
Origen: Symptom monitoring by patients with a psychiatric disorder in palliative care – PubMed

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TECHNICAL DIFFICULTIES AND PROCEDURAL COMPLICATIONS IN CLOSING MALIGNANT ESOPHAGEAL-RESPIRATORY FISTULAS

Acta Clin Croat. 2021 Dec;60(4):703-710. doi: 10.20471/acc.2021.60.04.18.ABSTRACTThe aim of the study was to outline technical difficulties and procedural complications of using partially covered esophageal self-expandable metal stents (SEMSs) in malignant esophageal respiratory fistulas (ERFs) as a palliative treatment option. In this study, 150 patients with malignant dysphagia underwent treatment with SEMSs. A total of 36 ERFs were detected through endoscopic or clinical assessment. Complete fistula sealing with SEMSs was possible in 35 of the 36 patients. The majority of fistulas were diagnosed in male patients with advanced esophageal cancer. All of them presented with prolonged dysphagia and cachexia. Stent migration…
Origen: TECHNICAL DIFFICULTIES AND PROCEDURAL COMPLICATIONS IN CLOSING MALIGNANT ESOPHAGEAL-RESPIRATORY FISTULAS – PubMed

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SURGICAL PALLIATION FOR PANCREATIC CANCER

Harefuah. 2022 Jun;161(6):383-389.ABSTRACTPancreatic cancer (PC) is the 11th most common malignancy worldwide, however, entailing a mortality in excess of 90% within 5 years from diagnosis, it is the 4th most fatal malignant disease. PC is commonly diagnosed at an advanced stage, in which curative resection is no longer possible. Even patients who present with potentially curable disease will have upward of 30% recurrence of their disease within the first year. Thus, palliative therapy has paramount importance in patient management. The purpose of palliative care in these patients is to relieve symptoms and improve quality of life. This article reviews the…
Origen: SURGICAL PALLIATION FOR PANCREATIC CANCER – PubMed

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PALLIATIVE SOCIAL WORK IN ISRAEL – CHALLENGES AND OPPORTUNITIES

Harefuah. 2022 Jun;161(6):390-394.ABSTRACTIsrael, a young country that constantly absorbs immigrants from different cultures, has a unique social structure. The mosaic of culture and values that exist in it, the delicate balance that exists between religion and state, advanced legislative processes, the central place of the family in individual life, combined with the principles of autonomy in which the health system operates, require deliberate action to formulate solutions and meet current challenges. In this unique space the contribution of the palliative social workers is reflected through the application of models for individual and family assessment, clinical interventions implemented with cultural sensitivity…
Origen: PALLIATIVE SOCIAL WORK IN ISRAEL – CHALLENGES AND OPPORTUNITIES – PubMed

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