We present an 84-year-old female patient with a colostomy for pelvic recurrence of esophagogastric junction cancer (T3 N2 M0, StageIIIA). Four months postoperatively, she complained of cessation of colostomy output and abdominal pain. The colostomy was stenosed owing to the progression of peritoneal metastases. We placed a self-expanding metallic stent (SEMS) via the colostomy site. Her abdominal distention improved once she passed stool. She started to eat from the next day and was discharged from the hospital 11 days later. Stenting for malignant stenosis of a colostomy may effectively improve the quality of life at the end of life in patients with peritoneal dissemination.
