[Continuous Subcutaneous Injection Therapy in End-of-Life Symptoms of Cancer and Non-Cancer Patients].

The significance of continuous subcutaneous injection(CSI)therapy was assessed in end-of-life symptoms of cancer and non-cancer home hospice patients. In a retrospective analysis of 106 advanced cancer patients who underwent opioid CSI therapy, the most frequent symptom was pain(65%), followed by dyspnea(46%), seizure(8%), ileus(8%), and other uncontrolled end-of-life symptoms(23%). The median oral morphine equivalent daily opioid dose was 90 mg(2.

[Cancer Disease Trajectory and the Contribution of Artistic Outreach Activity to Palliative Care].

The purpose of this article is to show some unintentional aspects of palliative supports offered by the community. The activities of the Opera Ehime, an amateur opera group, play an important role in palliative and grief care. This community is also committed to providing supportive care for home hospice cancer patients through an outreach music program that offers patients connection with others and reduces isolation.

[Effective methods of organizing complex information in advanced cancer patients].

Advanced cancer patients often present with variable clinical information documenting widespread lesions and treatment histories. For health care providers, organizing and managing this information is crucial. In our ambulatory and home palliative/ hospice care practice, two visual tools are used: 1 ) a one-page line diagram which shows the Edmonton Labeled Visual Information System (ELVIS) and a schematic demarcation of dermatomes shown as distinct segments, and 2 ) a one-page summary report containing various graphs displaying the transition of clinical variables which appear to be predictive of survival.

[Support for cancer caregivers during the palliative, hospice, and bereavement phases: the role of family physicians].

The family caregivers of cancer patients are at an increased risk of physical and mental morbidity. The purpose of this study is to capture the needs of the caregivers before and during the years after the loss of the patient. A survey was conducted among 229 consecutive advanced cancer patients in our family clinic.

[A case of pedunculated colonic adenoma with pseudocarcinomatous invasion and squamous metaplasia occurring in the sigmoid colon].

A case of pedunculated colonic adenoma with pseudocarcinomatous invasion and squamous metaplasia occurring in the sigmoid colon is reported. The patient was a 65-year-old man who visited our hospital for further evaluation of a positive fecal occult blood test. Colonoscopy revealed a pedunculated polyp with a thick swollen stalk in the sigmoid colon.

Esophageal large fish bone (sea bream jawbone) impaction successfully managed with endoscopy and safely excreted through the intestinal tract.

A 68-year-old man consulted our hospital because of back pain. A chest computed tomography (CT) demonstrated a high-density foreign body in the esophageal wall. There was no evidence of pneumomediastinum.

Jejunal small ectopic pancreas developing into jejunojejunal intussusception: a rare cause of ileus.

Intussusception is rare in adults. We describe a 62-year-old man with jejunal ectopic pancreas that led to jejunojejunal intussusception and ileus. The patient was admitted to our hospital because of intermittent abdominal pain.

Pedunculated Brunner's gland hamartoma of the duodenum causing upper gastrointestinal hemorrhage.

A case of pedunculated Brunner's gland hamartoma (BGH) of the duodenum causing upper gastrointestinal (GI) hemorrhage is reported. The patient was a 47-year-old man who visited our hospital for further evaluation of tarry stools and shortness of breath. Endoscopic examination of the upper digestive tract revealed a large peduncular polyp with bleeding, about 30 mm in diameter, arising from the wall of the second portion of the duodenum.