Selby D, et al. - Researchers retrospectively reviewed the charts of their initial series of 10 advanced malignancy patients with malignant bowel obstruction (MBO) refractory to medical management who received percutaneous transesophageal gastrostomy (PTEG) for gastrointestinal decompression, with a focus on palliative outcomes and safety. All 10 patients with contraindications to a venting gastrostomy had successful insertion of PTEGs, with no acute post-procedure complications. As per outcomes, for gastrointestinal decompression in patients with malignant bowel obstruction who are not candidates for surgical decompression or standard venting gastrostomy, PTEG should be considered. Patients with MBO who are approaching end of life may show improvement in symptom management and quality of life via this safe and effective procedure.