Ethical Dilemma: Is it Worthwhile Operating an End-Stage Pancreatic Cancer Patient with Acute Mesenteric Artery Ischemia?

IF 0.5 Q3 Medicine Acta Medica Lituanica Pub Date : 2021-12-17 DOI:10.15388/Amed.2021.28.2.17
C. Damaskos, N. Garmpis, A. Garmpi, V. Georgakopoulou, Alexandros Patsouras, G. Sypsa, A. Syllaios, E. Antoniou
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Abstract

Pancreatic cancer is as an aggressive malignancy with low survival rates. We present the first case of an operation of acute mesenteric ischemia performed in a patient with end-stage pancreatic adenocarcinoma. Through this case, we also discuss raising concerns regarding the management of severe complications such as acute mesenteric ischemia in patients with progressed pancreatic carcinoma. How ethical is to leave patients untreated? The decisions for management of patients with advanced disease are strongly based on the expected quality of life, ethical principles, different religions and spiritualities, and the burden of healthcare cost.
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伦理困境:急性肠系膜动脉缺血终末期胰腺癌患者是否值得手术?
胰腺癌是一种侵袭性恶性肿瘤,生存率低。我们提出了第一例手术急性肠系膜缺血的病人进行了终末期胰腺腺癌。通过这个病例,我们也讨论了对进展性胰腺癌患者急性肠系膜缺血等严重并发症的处理的关注。不治疗病人是否合乎道德?晚期疾病患者的管理决策主要基于预期的生活质量、伦理原则、不同的宗教和精神以及医疗费用负担。
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来源期刊
Acta Medica Lituanica
Acta Medica Lituanica Medicine-General Medicine
CiteScore
0.70
自引率
0.00%
发文量
33
审稿时长
16 weeks
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