title: 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.
  
  
  METHODS
  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.affiliation: Gastroenterology Division, Yokohama City University Hospital, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan.
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Kurita
authors.forename: Tomoko
authors.initials: T
authors.lastname: Koide
authors.forename: Seitaro
authors.initials: S
authors.lastname: Watanabe
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Ogawa
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Sekino
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Iida
authors.forename: Takashi
authors.initials: T
authors.lastname: Nonaka
authors.forename: Akihiko
authors.initials: A
authors.lastname: Kusakabe
authors.forename: Eiji
authors.initials: E
authors.lastname: Gotoh
authors.forename: Shin
authors.initials: S
authors.lastname: Maeda
authors.forename: Atsushi
authors.initials: A
authors.lastname: Nakajima
authors.forename: Masahiko
authors.initials: M
authors.lastname: Inamori
mesh_terms: D005260:Female; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D007415:Intestinal Obstruction / Q000601:surgery*; D008875:Middle Aged; D011706:Pyloric Antrum / Q000601:surgery*; D011788:Quality of Life