Hameed Hassan, Khan Yakub Iqbal
Department of Medicine, Shakat Khanum Memorial Cancer Hospital, Lahore, Pakistan.
Br J Oral Maxillofac Surg. 2009 Dec;47(8):643-4. doi: 10.1016/j.bjoms.2008.10.015. Epub 2008 Dec 30.
Patients with head and neck cancers need a percutaneous endoscopic gastrosotomy (PEG) before start of treatment to ensure adequate nutrition because worsening dysphagia during chemo radiation [Nicholson FB, Korman MG, Richardson MA. Percutaneous endoscopic gastrostomy: a review of indications, complications and outcome. J. Gastroenterol Hepatol 2000; 15: 21-5; Beer KT, Krause KB, Zuercher T, Stanga Z. Early percutaneous endoscopic gastrostomy insertion maintains nutritional state in patients with aerodigestive tract cancer. Nutr Cancer 2005; 52: 29-34.]. However implantation of original tumor to the gastrostomy exit site is rare but serious complication of this procedure and here we report a case of PEG site metastasis along with relevant review of literature.
头颈癌患者在开始治疗前需要进行经皮内镜下胃造口术（PEG）以确保充足的营养，因为放化疗期间吞咽困难会加重[Nicholson FB, Korman MG, Richardson MA.经皮内镜下胃造口术：适应证、并发症及结果综述。《胃肠病学与肝病学杂志》2000年；15: 21 - 5；Beer KT, Krause KB, Zuercher T, Stanga Z.早期经皮内镜下胃造口术置入可维持上消化道癌症患者的营养状态。《营养与癌症》2005年；52: 29 - 34。]。然而，原发肿瘤种植于胃造口出口部位是该手术罕见但严重的并发症，在此我们报告一例胃造口部位转移病例并对相关文献进行综述。
