内容紹介
Summary
A female patient aged 77 years had refractory watery diarrhea caused by a vasoactive intestinal peptide production tumor. She had impaired consciousness. After presenting to our hospital, we administered opium tincture, after which the diarrhea ceased. Intravenous feeding was able to be stopped along with the potassium load and the infusion of octreotide, and loperamide. The antidiarrheal effects continued after opium tincture was stopped, and the patient was discharged home. These results reveal that opium tincture can be efficacious in treating end—stage refractory diarrhea.
要旨
症例は77歳,女性。血管作動性腸管ポリペプチド(vasoactive intestinal peptide:VIP)産生腫瘍による難治性下痢と繰り返す意識障害のため,点滴加療の継続が必要で当院に転院となった。アヘンチンキの内服によって,点滴,カリウム補正,オクトレオチドの持続静注,ロペラミドは中止することができた。アヘンチンキ内服中止後も止痢作用は持続し,在宅復帰が可能となった。アヘンチンキは終末期の難治性下痢の症状緩和に有効な手段の一つと考えられた。
目次
A female patient aged 77 years had refractory watery diarrhea caused by a vasoactive intestinal peptide production tumor. She had impaired consciousness. After presenting to our hospital, we administered opium tincture, after which the diarrhea ceased. Intravenous feeding was able to be stopped along with the potassium load and the infusion of octreotide, and loperamide. The antidiarrheal effects continued after opium tincture was stopped, and the patient was discharged home. These results reveal that opium tincture can be efficacious in treating end—stage refractory diarrhea.
要旨
症例は77歳,女性。血管作動性腸管ポリペプチド(vasoactive intestinal peptide:VIP)産生腫瘍による難治性下痢と繰り返す意識障害のため,点滴加療の継続が必要で当院に転院となった。アヘンチンキの内服によって,点滴,カリウム補正,オクトレオチドの持続静注,ロペラミドは中止することができた。アヘンチンキ内服中止後も止痢作用は持続し,在宅復帰が可能となった。アヘンチンキは終末期の難治性下痢の症状緩和に有効な手段の一つと考えられた。