Transgastric Diversion of Transnasal Long Tube Placement Using a Percutaneous Endoscopic Gastrostomy Site in a Patient with Bowel Obstruction and Massive Ascites due to Ovarian Carcinoma

Vol. 2, No. 3, 2008

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Published: September 2008

Transgastric Diversion of Transnasal Long Tube Placement Using a Percutaneous Endoscopic Gastrostomy Site in a Patient with Bowel Obstruction and Massive Ascites due to Ovarian Carcinoma
Akira Horiuchi^a, Yoshiko Nakayama^b, Naoki Tanaka^a

Departments of
^aGastroenterology and
^bPediatrics, Showa Inan General Hospital, Komagane, Japan

Address of Corresponding Author

Case Rep Gastroenterol 2008;2:326-329 (DOI: 10.1159/000155149)

Key Words

Percutaneous endoscopic gastrostomy
Transgastric long tube decompression
Bowel obstruction
Massive ascites
Ovarian carcinoma

Abstract

The course of patients with advanced ovarian carcinoma is often complicated by bowel obstruction and/or massive ascites. A transnasal long tube may be placed to relieve bowel obstruction, but produces nasal discomfort and pain. Recently, the effectiveness of percutaneous endoscopic gastrostomy (PEG) tube placement for malignant bowel obstruction due to ovarian carcinoma has been reported, but not all patients received effective decompression. Diversion of a transnasal long tube to the PEG site in this case provided a useful method of long-term decompression while providing improved quality of life.

Author Contacts

Akira Horiuchi, MD
Department of Gastroenterology, Showa Inan General Hospital
3230 Akaho
Komagane 399-4191 (Japan)
Tel. +81 265 82 2121, Fax +81 265 82 2118, E-Mail horiuchi.akira@sihp.jp

Article Information

Published online: September 30, 2008
Number of Print Pages : 4
Number of Figures : 1, Number of Tables : 0, Number of References : 2

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