A Case of Advanced Colorectal Cancer Treated with Palliative Decompression by Endoscopic Gastrostomy with Placement of a Transgastric Ileostomy Tube

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Key Points

This case focuses on the effectiveness of endoscopic gastrostomy and ileostomy tube placement for symptom relief in advanced colorectal cancer.
Conducted abdominal CT to assess small intestine obstruction and associated symptoms.
Performed endoscopic gastrostomy with transgastric ileostomy tube placement for decompression.
Monitored patient’s symptoms and quality of life post-intervention.
Improved symptoms and enabled oral intake following ileostomy tube placement.
Contributed to stress reduction for the patient during palliative care.
Patient transitioned to home care and passed away 106 days post-procedure.

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Case report demonstrates effective symptom relief in advanced colorectal cancer with palliative gastrostomy.

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Hayashi et al. (2025) studied this question.

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