A Case of Malignant Gastrointestinal Obstruction in a Hyponutritional State That Was Treated with Staging Laparoscopy and Laparoscopic Jejunostomy to Enable Oral Intake

Koji Otsuka; Kazunari Katsura; Takahiro Mitani; Daisuke Nozoe; Kazuma Tagami; Ayako Maekawa; Noboru Sugawara; Keiko Kaga; Takuji Hirano

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A Case of Malignant Gastrointestinal Obstruction in a Hyponutritional State That Was Treated with Staging Laparoscopy and Laparoscopic Jejunostomy to Enable Oral Intake

VernacularTitle:手術療法が困難と考えられた低栄養状態の悪性消化管閉塞に対し，審査腹腔鏡手術および小腸瘻造設術を行うことで経口摂取が可能となった1例
Author: Koji OTSUKA ¹ ; Kazunari KATSURA ² ; Takahiro MITANI ¹ ; Daisuke NOZOE ³ ; Kazuma TAGAMI ⁴ ; Ayako MAEKAWA ⁵ ; Noboru SUGAWARA ⁵ ; Keiko KAGA ⁵ ; Takuji HIRANO ⁶
Author Information

1. Department of Obstetrics and Gynecology, Kameda Medical Center
2. Department of Surgery, Iwate Prefectural Iwai Hospital
3. Department of Obstetrics and Gynecology, Suzuki Memorial Hospital
4. Department of Obstetrics and Gynecology, Tohoku University Hospital
5. Department of Obstetrics and Gynecology, Iwate Prefectural Iwai Hospital
6. Department of Palliative Medicine, Iwate Prefectural Iwai Hospital
Keywords: ovarian cancer; intestinal obstruction; medical care team; laparoscopy; jejunostomy
From:Palliative Care Research 2023;18(2):153-158
CountryJapan
Language:Japanese
Abstract: Treatment for malignancy bowel obstruction (MBO) includes surgery, gastrointestinal stenting, nasogastric tube, percutaneous endoscopic gastrostomy, and drug therapy. Drug therapy such as octreotide acetate significantly reduces the quality of life of patients because oral intake is no longer possible and continuous intravenous infusion is required. After a multidisciplinary conference including the department of gastrointestinal surgery and the department of palliative medicine, we could perform staging laparoscopy on a nutritionally-depleted patient with MBO and laparoscopic jejunostomy as a palliative surgery. As a result, she could discontinue from administration of octreotide acetate and resume oral intake.