1.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
Palliative Care Research 2023;18(2):153-158
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.
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