Inclusion Criteria:  Age ≥ 18 years of age; Diagnosis of bowel obstruction secondary to gastric or Gastroesophageal Junction adenocarcinoma caused either by tumor itself or adhesions in the setting of active malignancy; Cross-sectional imaging performed within 7 days of clinical symptoms of bowel obstruction (nausea, vomiting, and constipation ± abdominal pain); Patient must be considered as inoperable MBO by a surgical consultant; Written informed consent form patients;  Exclusion Criteria:  Bacteremia/septicemia with a documented positive blood culture; Patients already received the same regimen prior to study enrollment; Patients undergoing bowel surgery or stent placement for the obstruction; Those patients complicated with incarcerated hernia; Pregnant or nursing female participants.