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- Title
Postpyloric decompression tube placement through a gastrostomy for malignant bowel obstruction.
- Authors
Gotoh, Eiji; Iida, Hiroshi; Inamori, Masahiko; Koide, Tomoko; Kurita, Yusuke; Kusakabe, Akihiko; Maeda, Shin; Nakajima, Atsushi; Nonaka, Takashi; Ogawa, Tatsuya; Sekino, Yusuke; Watanabe, Seitaro
- Abstract
Background: Malignant bowel obstruction affect a patient's quality of life, but, management of MBO is controversial. Case presentation: A 51-year-old woman who had been diagnosed as uterine cervix cancer 2 years ago and had undergone surgery, chemotherapy and radiotherapy, was admitted to our hospital. She was diagnosed as having a recurrence of peritoneal metastasis and bowel obstruction. For her nasal pain, we considered insertion of a postpyloric decompression tube through the gastrostomy instead of via the nasal cavity. After insertion of a percutaneous gastrostomy tube was performed endoscopically, we introduced a postpyloric decompression tube through her gastrostomy. She could be discharged home, and 91 days later, she died in her home under hospice care, as she had wished. Conclusions: Insertion of a postpyloric decompression tube through a gastrostomy might be useful in the management of advanced cancer patients with bowel obstruction
- Subjects
PYLORIC stenosis; GASTROSTOMY; STOMACH surgery; QUALITY of life; CERVIX uteri; RADIOTHERAPY
- Publication
BMC Research Notes, 2013, Vol 6, Issue 1, p1
- ISSN
1756-0500
- Publication type
Article
- DOI
10.1186/1756-0500-6-217