Postpyloric decompression tube placement through a gastrostomy for malignant bowel obstruction

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• 作者：Yusuke Kurita (3)
  Tomoko Koide (3)
  Seitaro Watanabe (3)
  Tatsuya Ogawa (3)
  Yusuke Sekino (3)
  Hiroshi Iida (3)
  Takashi Nonaka (3)
  Akihiko Kusakabe (3)
  Eiji Gotoh (3)
  Shin Maeda (3)
  Atsushi Nakajima (3)
  Masahiko Inamori (3)
  
• 关键词：Malignant bowel obstruction ; Gastrostomy ; Palliative care ; Quality of life
• 刊名：BMC Research Notes
• 出版年：2013
• 出版时间：December 2013
• 年：2013
• 卷：6
• 期：1
• 全文大小：270KB
• 参考文献：1. Mori M, Bruera E, Dev R: Complications of a gastrostomy tube used for decompression of an inoperable bowel obstruction in a patient with advanced cancer. / J Pain Symptom Manage 2009, 38:466-72. CrossRef
  2. Mangili G, Aletti G, Frigerio L, Franchi M, Panacci N, Viganò R, DE Marzi P, Zanetto F, Ferrari A: Palliative care for intestinal obstruction in recurrent ovarian cancer: a multivariate analysis. / Int J Gynecol Cancer 2005, 15:830-35. CrossRef
  3. Meyer L, Pothuri B: Decompressive percutaneous gastrostomy tube use in gynecologic malignancies. / Curr Treat Options Oncol 2006, 7:111-20. CrossRef
  4. Dolan EA: Malignant bowel obstruction: a review of current treatment strategies. / Am J Hosp Palliat Care 2011, 28:576-82. CrossRef
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  6. Roeland E, von Gunten CF: Current concepts in malignant bowel obstruction management. / Curr Oncol Rep 2009, 11:298-03. CrossRef
  
• 作者单位：Yusuke Kurita (3)
  Tomoko Koide (3)
  Seitaro Watanabe (3)
  Tatsuya Ogawa (3)
  Yusuke Sekino (3)
  Hiroshi Iida (3)
  Takashi Nonaka (3)
  Akihiko Kusakabe (3)
  Eiji Gotoh (3)
  Shin Maeda (3)
  Atsushi Nakajima (3)
  Masahiko Inamori (3)
  
  3. Department of Medical Education, Yokohama City University School of Medicine, Yokohama, Japan
  

文摘

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.