Clinical Summary: 84-Year-Old Female Patient Treatment Progression

An 84-year-old female was admitted with a history of dysphagia, vomiting, and significant weight loss. An endoscopic stent was placed on July 14, 2026. The patient was managed with Total Parenteral Nutrition (TPN), various medications, and supplemental oxygen.

Throughout late July 2026, the patient experienced fluctuating nausea, vomiting, and episodes of hypotension. Attempts to advance to oral diets were repeatedly unsuccessful due to poor appetite and persistent vomiting. By July 27, she began vomiting fresh blood, necessitating a return to theater for the removal of the esophageal stent.

As of July 29, the patient remains on TPN with an elevated CRP and Fungitell markers, for which Mycamine has been added. She required a blood transfusion due to low hemoglobin (7.0 g/dl). The clinical team is monitoring her closely, noting that if oral intake continues to fail, an open gastrostomy may be required.