Abstract
BackgroundMalignant bowel obstruction affect a patient’s quality of life, but, management of MBO is controversial.Case presentationA 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.ConclusionsInsertion of a postpyloric decompression tube through a gastrostomy might be useful in the management of advanced cancer patients with bowel obstruction.
Highlights
Malignant bowel obstruction affect a patient’s quality of life, but, management of MBO is controversial
* Correspondence: inamorim@med.yokohama-cu.ac.jp 1Gastroenterology Division, Yokohama City University Hospital, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan Full list of author information is available at the end of the article she complained of severe nasal pain and expressed her wish for treatment by a different method
We introduced a postpyloric decompression tube through her gastrostomy instead of via the nasal cavity
Summary
Malignant bowel obstruction affect a patient’s quality of life, but, management of MBO is controversial. Background Malignant bowel obstruction (MBO), a common complication in patients with advanced cancer, can significantly affect a patient’s quality of life [1-3]. Case presentation A 51-year-old woman who had been diagnosed as having stage 2b uterine cervix cancer 2 years ago and had undergone surgery, chemotherapy and radiotherapy, was admitted to our hospital with nausea and abdominal pain. We first treated her conservatively a month later, her symptoms recurred and a postpyloric decompression tube was introduced via the nasal cavity.
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