Perceptions of a gastric fistula in patients with esophagus cancer who received chemoradiotherapy after gastrostomy

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  • 食道がんで胃ろう造設後に化学放射線療法を受けた患者の胃ろうに対する思い
  • ショクドウ ガン デ イロウ ゾウセツゴ ニ カガク ホウシャセン リョウホウ オ ウケタ カンジャ ノ イロウニタイスル オモイ

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Abstract

The purpose of the study was to clarify the perceptions of a gastric fistula in patients with esophagus cancer who received chemoradiotherapy after gastrostomy. The subjects were 6 patients with esophagus cancer who consented to participate in the study. Data was obtained through semi-structured interviews for content analysis. Four categories were identified in relation to the patients’ perceptions of a gastric fistula as: “necessary to continue treatment”; “usable”; “maintainable by themselves”; and “unnecessary if they can ingest orally”

The participants, hoping to cure cancer, considered that they must continue treatment. The gastric fistula was routinely used because it was seen as necessary for treatment. They did not have discomfort after gastrostomy and thus accepted its use. They also found that the maintenance of a gastric fistula was easy enough to do as a part of daily life. On the other hand, if side effects should occur, they hoped to continue treatment without relying on the gastric fistula, by devising methods for food intake. Furthermore, they perceived that a gastric fistula is unnecessary if they can take food orally. It is necessary to provide patients with individual supports, showing respect to each patient’s feelings, and enable them to take initiatives during the hospital stay to continue treatment.

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