Inquest into the Death of Roy Charles GILBERT
Deceased
Roy Charles GILBERT
Demographics
49y, male
Date of death
2013-12-21
Finding date
2015-07-08
Cause of death
Complications in Association with Advanced Gastric Malignancy
AI-generated summary
Roy Charles Gilbert, a 49-year-old prisoner serving an indefinite sentence, was diagnosed with advanced gastric adenocarcinoma in August 2013 after presenting with symptoms of constipation, weight loss, and vomiting. Gastroscopy revealed gastric outlet obstruction caused by metastatic disease. He underwent multiple interventions including stent placement and three cycles of chemotherapy, managed jointly by Royal Perth Hospital (oncology and gastroenterology) and prison medical services. Despite aggressive treatment, his cancer progressed with extensive peritoneal metastases. His compliance with treatment was inconsistent and his behaviour during hospital management was often uncooperative. He was escalated to palliative care in December 2013 and declared terminally ill (Phase 2). He died at Royal Perth Hospital on 21 December 2013 from complications of advanced gastric malignancy. The Deputy State Coroner found his supervision, treatment and care to be appropriate and reasonable given the aggressive nature of his cancer and his periods of non-compliance.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Specialties
Clinical conditions
Contributing factors
- advanced metastatic gastric adenocarcinoma
- gastric outlet obstruction
- poor chemotherapy response
- extensive peritoneal metastases
- patient non-compliance with treatment
- difficult patient behaviour during hospital management
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