1. Top Ten Tips Palliative Care Clinicians Should Know About Interventional Symptom Management Options When Caring for Patients with Gastrointestinal Malignancies.
- Author
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Johnson, Alyson M., Spaete, Joshua P., Jowell, Paul S., Kamal, Arif H., and Fisher, Deborah A.
- Subjects
BILIOUS diseases & biliousness ,GASTROINTESTINAL tumors treatment ,DUODENAL diseases ,ENDOSCOPY ,ESOPHAGEAL tumors ,GASTROENTEROLOGY ,BOWEL obstructions ,MEDICAL needs assessment ,PALLIATIVE treatment ,PHYSICIANS ,SURGICAL stents ,GASTROINTESTINAL tumors ,DISEASE management ,SURGICAL equipment ,SYMPTOMS ,THERAPEUTICS - Abstract
Patients diagnosed with advanced stages of gastrointestinal (GI) malignancies are often quite symptomatic, with symptoms primarily related to anatomic sites of obstruction. Endoscopic approaches to the palliation of GI malignancies have begun to overtake surgical approaches as first line in interventional management. We brought together a team of interventional gastroenterologists and palliative care experts to collate practical pearls for the types of endoscopic interventions used for symptom management in patients with GI malignancies. In this article, we use a “Top 10” format to highlight issues that may help palliative care physicians recognize common presentations of advanced GI malignancies, address interventional approaches to improve symptom burden, and improve the quality of shared decision making and goals-of-care discussions. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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