Cervical Esophago-Gastric Tubes for Patients with Malignant Ascites

Diana H. Liang, Min P. Kim, Edward Y. Chan, Puja Gaur

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Patients with chronic small bowel obstruction and malignant ascites from diffuse peritoneal carcinomatosis have limited options for gastrointestinal decompression as part of end-of-life palliation. Insertion of a percutaneous gastrostomy tube is relatively contraindicated in patients with ascites. Alternatively, nasogastric tube placement often leads to significant discomfort to patients and necessitates hospitalization during their last days of life. Here, we demonstrate how placing a percutaneous cervical esophago-gastric tube can allow adequate gastrointestinal decompression for terminal patients with malignant small bowel obstruction. This palliative measure allows them to remain in the comfort of their own homes after the procedure.

Original languageEnglish (US)
Pages (from-to)199-201
Number of pages3
JournalJournal of Gastrointestinal Surgery
Volume21
Issue number1
DOIs
StatePublished - Jan 1 2017

Keywords

  • Malignant small bowel obstruction
  • Palliative decompression
  • Quality of life

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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