Tsai John K, Schattner Mark
Gastroenterology and Nutrition Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY 10021, USA.
Gastrointest Endosc Clin N Am. 2007 Oct;17(4):777-86. doi: 10.1016/j.giec.2007.07.012.
Metastases to gastrostomy sites are a rare but significant complication of percutaneous endoscopic gastrotomy (PEG) placement in cancer patients. Both direct seeding and hematogenous spread have been suggested as possible mechanisms. This article outlines the incidence, presentation, pathogenesis, and management of PEG-site metastases.
癌症患者经皮内镜下胃造口术(PEG)置管后发生胃造口部位转移是一种罕见但严重的并发症。直接种植和血行播散均被认为是可能的机制。本文概述了PEG部位转移的发生率、表现、发病机制及处理方法。