{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T02:29:55Z","timestamp":1760149795937,"version":"build-2065373602"},"reference-count":33,"publisher":"MDPI AG","issue":"18","license":[{"start":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T00:00:00Z","timestamp":1694563200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancers"],"abstract":"<jats:p>Peritoneal carcinomatosis-associated malignant bowel obstruction is a common feature that merits more attention in advanced and recurrent ovarian cancer. Decompressive gastrostomy is one of the most preferred methods to palliate distressing symptoms and maintain patients\u2019 quality of life. We retrospectively identified 31 patients with ovarian cancer-associated MBO, who underwent decompressive CT fluoroscopy-guided percutaneous gastrostomy (CT-PG) between September 2015 and April 2023 at our institution. A systematic literature review was conducted for CT-guided gastrostomy in ovarian cancer. Prior to CT-PG, 27 (87%) patients underwent unsuccessful attempts at endoscopic gastrostomy or surgery due to bowel obstruction; a total of 55% had received \u22653 lines of chemotherapy. CT-PG could be successfully inserted in 25 of 31 (81%) patients without grade 4\u20135 complications. CT-PG insertion was feasible in 76% of patients with previous unsuccessful attempts of endoscopic gastrostomy. A total of 80% of patients with a successful insertion had considerable symptom relief and could tolerate fluid intake. Mean survival after the procedure was 44.4 days. Chemotherapy could be administered in 7 of 25 (28%) patients following the CT-PG insertion. CT-guided percutaneous gastrostomy is a safe procedure that effectively manages intractable symptoms of bowel obstruction in ovarian cancer. This minimally invasive technique should be emphasised as a routine instrument within the palliative management of MBO.<\/jats:p>","DOI":"10.3390\/cancers15184540","type":"journal-article","created":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T10:00:23Z","timestamp":1694685623000},"page":"4540","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["CT Fluoroscopy-Guided Percutaneous Gastrostomy in the Palliative Management of Advanced and Relapsed Ovarian Cancer: The Charit\u00e9 Experiences and a Review of the Literature"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2047-548X","authenticated-orcid":false,"given":"Emel","family":"Canaz","sequence":"first","affiliation":[{"name":"Charit\u00e9 Comprehensive Cancer Center (CCCC), European Competence Center for Ovarian Cancer (EKZE), Department of Gynaecology and Gynaecological Oncology, Charit\u00e9-University Medicine of Berlin, Campus Charit\u00e9 Virchow, 13353 Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5963-6623","authenticated-orcid":false,"given":"Jalid","family":"Sehouli","sequence":"additional","affiliation":[{"name":"Charit\u00e9 Comprehensive Cancer Center (CCCC), European Competence Center for Ovarian Cancer (EKZE), Department of Gynaecology and Gynaecological Oncology, Charit\u00e9-University Medicine of Berlin, Campus Charit\u00e9 Virchow, 13353 Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernhard","family":"Gebauer","sequence":"additional","affiliation":[{"name":"Department of Radiology, Charit\u00e9-University Medicine of Berlin, Campus Charit\u00e9 Virchow, 13353 Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Segger","sequence":"additional","affiliation":[{"name":"Department of Radiology, Charit\u00e9-University Medicine of Berlin, Campus Charit\u00e9 Virchow, 13353 Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5378-461X","authenticated-orcid":false,"given":"Federico","family":"Collettini","sequence":"additional","affiliation":[{"name":"Department of Radiology, Charit\u00e9-University Medicine of Berlin, Campus Charit\u00e9 Virchow, 13353 Berlin, Germany"},{"name":"Berlin Institute of Health (BIH), Anna-Louisa-Karsch 2, 10178 Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5763-689X","authenticated-orcid":false,"given":"Timo Alexander","family":"Auer","sequence":"additional","affiliation":[{"name":"Department of Radiology, Charit\u00e9-University Medicine of Berlin, Campus Charit\u00e9 Virchow, 13353 Berlin, Germany"},{"name":"Berlin Institute of Health (BIH), Anna-Louisa-Karsch 2, 10178 Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,9,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1016\/j.annonc.2021.12.007","article-title":"European cancer mortality predictions for the year 2022 with focus on ovarian cancer","volume":"33","author":"Dalmartello","year":"2022","journal-title":"Ann. 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