Postpyloric decompression tube placement through a gastrostomy for malignant bowel obstruction.

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.

• Authors: Yusuke Kurita, Tomoko Koide, Seitaro Watanabe, Tatsuya Ogawa, Yusuke Sekino, Hiroshi Iida, Takashi Nonaka, Akihiko Kusakabe, Eiji Gotoh, Shin Maeda, Atsushi Nakajima, Masahiko Inamori
• Journal: BMC research notes (BMC Res Notes) Vol. 6 Pg. 217 (Jun 03 2013) ISSN: 1756-0500 [Electronic] England
• PMID: 23731859 (Publication Type: Case Reports, Journal Article)

Topics

• Female
• Gastrostomy (methods)
• Humans
• Intestinal Obstruction (surgery)
• Middle Aged
• Pyloric Antrum (surgery)
• Quality of Life