Inclusion Criteria:

- Hospital admission and diagnosis compatible with Malignant Bowel Obstruction, as
defined below:

1. A diagnosis of primary ovarian cancer, primary peritoneal cancer or fallopian
tube cancer

2. At least two of the following four symptoms: (a) vomiting (>2 episodes in past
24 hours), (b) abdominal pain, (c) not passing gas per rectum in past 24 hours,
(d) severe constipation (no bowel movement >24 hours).

3. CT findings suggestive of complete bowel obstruction. CT Abdomen: confirms
diagnosis of bowel obstruction (93% sensitivity 93-100% specificity) and aids in
determining the location and etiology of obstruction.

- Non-surgical candidate

- Ability to understand and the willingness to sign a written informed consent
document.

- Patients must be 18 years of age or older.

- ECOG performance status 0, 1 or 2 (Karnofsky > or = 60%) one week prior to admission.

- Patients must have adequate hematological function as defined below:

- Absolute granulocyte count > or = 1.5 x 10^9/L

- Platelet count > or = 100 x 10^9/L

- Patients must have adequate renal and hepatic function as defined below:

- Serum creatinine < or = 1.5 x ULN OR a calculated creatinine clearance > or = 50
ml/min

- Bilirubin < or = 3 x ULN, AST < or = 5 x ULN, ALT < or = 5 x ULN

Exclusion Criteria:

- Patients diagnosed with MBO caused by malignancy other than primary ovarian cancer.

- Patients diagnosed with MBO who are surgical candidates.

- Patients who are pregnant or breast-feeding.

- Concomitant diagnosis of GI malignancy (platinum ineffective) within past 5 years.

- History of severe hypersensitivity reaction to Cisplatin and Paclitaxel.

- Patients who have received chemotherapy within 2 weeks prior to study enrollment.

- Patients with uncontrolled Inflammatory Bowel Disease.

- Patients with concurrent active infections with Clostridium Difficile.

- Early postoperative obstruction (within 30 days from previous operation).

- Patients who have had bowel irradiation within 6 weeks.

- Patients with any of the following conditions are excluded:

- Myocardial infarction within 6 months prior to entry.

- Congestive heart failure.

- Unstable angina.

- Active cardiomyopathy.

- Unstable ventricular arrhythmia.

- Uncontrolled hypertension.

- Uncontrolled psychotic disorders.

- Serious infections.

- Active peptic ulcer disease.

- Uncontrolled psychiatric illness.

- Any other medical conditions that might be aggravated by treatment or limit
compliance.