Standardized analgesic treatment for advanced gastric cancer
GE Feng
CANG Jing
LIU Feng-lin
Abstract：With the development of new drugs and usage of the multiple disciplinary team in the diagnosis and treatment of advanced gastric cancer,to some extent,the treatment effect of advanced gastric cancer has been improved.For the pain,as the most common symptom of advanced gastric cancer,treatment must be standardized in physiological,psychological,spiritual and social levels.Early positive analgesic treatment can prevent the development of pain,intractable neuropathic pain,and help to improve the quality of life of patients.Patients with advanced gastric cancer need to be first evaluated for the location and extent of pain,and titrated with pain medications and evaluated for several times until the pain has reached a steady state.Three levels of drug can be selected in the treatment of advanced gastric cancer patients with pain:mild pain patients can use non-steroidal drugs;patients with rapid progress pain can directly use second level drugs:weak opioids and low dose of strong opioids;patients with moderate and severe pain in advanced gastric cancer can use strong opioids;advanced gastric cancer patients with opioid tolerance are recommended for the usage of fentanyl transdermal system.For advanced cancer pain patients with intractable cancer pain,intervention treatment through ultrasound or nerve block can be chosen.Antidepressants can be used as an adjunct to the treatment of pain in patients with advanced gastric cancer.Constipation is the most common and most difficult adverse reaction;the cause and severity of constipation should be first re-evaluated and appropriate treatment measures should be taken.
Keywords：advanced gastric cancerpainstandardizel treatmentthree-step analgesic ladder
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 1123-1127 )