Changes of Treatment of Malignant Diseases in Digestive Organs in Nagaoka Chuo General Hospital
10.2185/jjrm.56.803
- Author:
Akira YOSHIKAWA
- Publication Type:Journal Article
- MeSH:
Therapeutic procedure;
Number;
Excision;
Digestive;
seconds
- From:Journal of the Japanese Association of Rural Medicine
2007;56(6):803-811
- CountryJapan
- Language:Japanese
-
Abstract:
I showes the result of treatment of malignant diseases in digestive organs for last 20 years on our hospital.In Niigata prefecture, esophageal and gastric cancer cases are higher more than Japanese mean frequency of them.We have about 200 cases of gastric cancer every year. Out of them, operable cases have been decreased gradually, because of increase in cases done EMR (endoscopic mucosal resection).In operation method, total gastrectomy and pyloric resection cases decreased due to improve patient's QOL. Anticancer chemo-therapy into inoperable patients were done by new anticancer drugs, especially, combination therapy of TS-1 and paclitaxel is most effective compared of other drugs and combinations, that is, 13 months in mean survival time were performed.Number of cases of esophageal cancer has been increasing slowly, however, operable cases were not increasing, because of increasing of EMR. Presently, frequency of operation, EMR and chemotherapy with irradiation is almost similar.Number of cases in colon cancer has been increasing yearly, following colonofiberscopy (CF) with EMR or polypectomy (PP).Almost of advanced colon cancers were operable with laparostomy, however, before several years, laparoscopic colectomy (LAC) was performed, then, it reached to 40% among operable cases. By LAC, hospital period was shortened about a half of laparostomy.Number of cases of hepatocellular carcinoma (HCC) has been not increasing, so, cases of hepatic resection was stationary, because of TAE (transarterial embolization), RFA (radiofrequency ablation) and PEIT (percutaneus ethanol injection therapy) performed actively.Out of them, 5 year survival rate of lower biliary tract cancer patients were more higher than upper ones.Hereafter, based on above results, we have to make a effort to form a system of a cancer therapy, from prevention, diagnosis, and therapy to terminal care.
