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Biomedical subjects

S Shimono

Publications and source records attributed to S Shimono.

4 recordsLinked to original sources
PubMed2000

[Percutaneous endoscopic gastrostomy (PEG)--analysis in one hospital].

Percutaneous endoscopic gastrostomy (PEG) has been investigated over the past 5 years at the author's hospital, together with the establishment of home PEG on a trial basis. PEG was performed in 176 cases from 1995 to 1999 with the goal of nutritional management, and in 26 cases with the goal of decompression drainage of the digestive tract. Patients who could be transferred to home management due to the establishment of the PEG included 92 (52%) with the goal of nutrition and 4 (15%) for decompression drainage. There is no remarkable difference in the effective treatment period between home and hospital management, and patients who could be transferred to their own homes were thus able to spend most of their remaining time at home; therefore, PEG contributes to home care. Complications associated with the establishment of PEG occurred in 17 (8.4%) patients, the majority of which were absesses at the site of insertion. Three patients who underwent PEG at home experienced no complications and could be transferred to parenteral nutrition via PEG. PEG is a useful method for nutritional management and digestive tract drainage, and contributes to home treatment and the improvement of patient quality of life. We would like to attempt further use of these methods including home PEG.

Aged↗
PubMed1999

[Endoscopic treatment of malignant stenosis in home care].

At our institute, we have tried to increase the patient's quality of life (QOL) by endoscopic stenting for upper intestinal stenosis due to malignant tumor, which could not be treated by surgery or chemotherapy. We report the endoscopic stenting and home therapy for those patients. The subjects were 44: (esophageal stenosis: 13 cases, biliary stenosis: 31 cases) out of 60 patients who had intestinal stenosis or obstruction, which could not be treated by surgery or chemotherapy. Esophageal stenosis was treated mainly by stenting and laser cautery, and biliary stenosis was treated by drainage using stenting. The home stay period, effective treat period, life survival period, and complications were analyzed in each case. It was found that the mean home stay period, mean effective treatment period, and mean life survival period were 3.4 months, 4.0 months, and 5.5 months, respectively, with esophageal stenosis, and 3.7 months, 4.4 months, 5.5 months with biliary stenosis. Mean home stay period/life survival period was 62% in cases of esophageal stenosis, and 67% in cases of biliary stenosis. Complications were observed in 40.0% of patients with esophageal stenting and in 12.5% with biliary stenting. Esophageal stenting showed a higher incidence of complications; however improvements in the stenting instrument will reduce the number of complications. Endoscopic stenting is thus effective for upper intestinal stenosis due to malignant tumor, especially in increasing the patient's QOL when curative therapy is not indicated, and the patient stays at home. We believe patients with uncurable malignant disease should have home treatment as early as possible.

Aged↗
PubMed1994

[Home infusion chemotherapy in patients with relapsed or recurred stomach and colorectal cancer].

Five patients with distant metastasis from colorectal cancer who had good nutrition were treated with continuous intravenous administration of 5-FU infusion (400-450 mg/body/day) by infusor. The other five patients with advanced stomach cancer who could not have so good nutrition were receiving home parental nutrition (HPN, 1,200 kcal/day) and continuous or intermittent 5-FU infusion (250-500 mg/body/day) using Lentinan at the same time. In colorectal cancer, one partial response (PR) and one complete response (CR) were obtained. And in stomach cancer, only one NC were obtained but we could perform these HPN and chemotherapy for 13 months at home. According to our trial, we thought these chemotherapy and nutrition at home were useful to improve the quality of life of patients with GI tract cancer.

Adult↗