Stomal seeding of head and neck cancer by percutaneous endoscopic gastrostomy (PEG) tube

1995 ◽  
Vol 2 (5) ◽  
pp. 462-463 ◽  
Author(s):  
William E. Strodel ◽  
Daniel E. Kenady
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Neck Cancer ◽  
Endoscopic Gastrostomy ◽  
Peg Tube

Use of percutaneous endoscopic gastrostomy (PEG) tube feeding support in head and neck cancer patients.

2018 ◽  
Vol 36 (15_suppl) ◽  
pp. e18062-e18062
Author(s):  
Ramla Namisango Kasozi ◽  
Anita Choudhary ◽  
Kelly Andrus ◽  
Richard C.K. Wong ◽  
Rory Eric Randall ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Cancer Patients ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Neck Cancer ◽  
Tube Feeding ◽  
Endoscopic Gastrostomy ◽  
Peg Tube

scholarly journals Metastatic Implantation of Head and Neck Squamous Cell Cancer at PEG Tube Site Exit— An Unusual Relapse Site: A Case Report and Review of Literature

2011 ◽  
Vol 2 (1) ◽  
pp. 53-56 ◽  
Author(s):  
Vijay Palwe ◽  
Kaustav Talpatra ◽  
Umesh Mahantshetty ◽  
Seethalaxmi Viswanathan
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Neck Cancer ◽  
Squamous Cell ◽  
Gastrostomy Tube ◽  
Tube Placement ◽  
Endoscopic Gastrostomy ◽  
Gastrostomy Tube Placement ◽  
Peg Tube

ABSTRACT Background The placement of percutaneous endoscopic gastrostomy (PEG) tubes is a common procedure in patients with head and neck cancer who require adequate nutrition because of the inability to swallow before or after surgery and adjuvant therapies. A potential complication of percutaneous endoscopic gastrostomy tubes is the metastatic spread from the original head and neck tumor to the gastrostomy site. Methods This is a case of a 55-year-old male with a (cT4N3M0) stage IV squamous cell carcinoma of the oropharynx who underwent percutaneous endoscopic gastrostomy tube placement prior to commencement of definitive chemoradiation therapy and 7 months thereafter developed metastatic spread to the gastrostomy site. Tumor was treated with radiation therapy. A review of the published literature regarding the subject is done. The pull-through method of gastrostomy tube placement had been used in our patient as well as in the majority of the other cases reviewed in the literature. Conclusions There is a small but definite risk for tumor implantation in the gastrostomy site when using the pull technique in patients with active head and neck cancer. The direct implantation of tumor through instrumentation is the most likely explanation for metastasis; however, hematogenous seeding is also a possibility. Careful assessment of the oropharynx and hypopharynx before PEG tube placement and the use of alternative techniques for enteral access in patients with untreated or residual malignancy are recommended to minimize this risk.

Head and neck cancer metastasis to the percutaneous endoscopic gastrostomy (PEG) tube site: a report of two cases

2010 ◽  
Vol 9 (4) ◽  
pp. 261-264 ◽  
Author(s):  
Matthew Johnson ◽  
Aruna Turaka ◽  
Steven J. Feigenberg
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Neck Cancer ◽  
Cancer Metastasis ◽  
Rare Occurrence ◽  
Tube Insertion ◽  
Endoscopic Gastrostomy ◽  
Peg Tube ◽  
Surgical Gastrostomy

AbstractObjective: Percutaneous endoscopic gastrostomy (PEG) tube insertion is used as an alternative to surgical gastrostomy in patients with head and neck cancers for nutritional support.Methods: We report two cases of head and neck cancer with metastasis to the surgical PEG tube site. The clinical and treatment-related details are discussed.Conclusions: Metastasis to PEG tube site is a rare occurrence.

scholarly journals Pharyngocutaneous fistula as an alternative access route for inserting a percutaneous endoscopic gastrostomy tube in head and neck cancer patients

2017 ◽  
Vol 05 (07) ◽  
pp. E630-E634
Author(s):  
Louise Di Palma ◽  
Gustavo Mello ◽  
Cindy Granados ◽  
Ricardo Glória ◽  
Caroline Dalbem ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Neck Cancer ◽  
Gastric Wall ◽  
Pharyngocutaneous Fistula ◽  
Percutaneous Endoscopic Gastrostomy Tube ◽  
Tertiary Referral Center ◽  
Endoscopic Gastrostomy ◽  
Peg Tube

Abstract Background and study aims Performing a percutaneous endoscopic gastrostomy (PEG) in head and neck cancer (HNC) patients can be challenging because of the presence of trismus, pharyngeal obstruction by tumor, and pharyngoesophageal strictures or fistula. Pharyngocutaneous fistula (PCF) is a major postoperative concern in patients submitted to total laryngectomy (TL). In the medical literature to date, the cervical fistula has been used as an access to PEG in only four reports. The aim of this study was to evaluate the safety of cervical fistula for insertion of a PEG tube. Patients and methods Retrospective study at a single tertiary referral center, regarding the technical feasibility, safety and outcomes of a PEG tube introduced by a cervical fistula in HNC patients with obstructive lesions of the oropharynx. Results The procedure was technically successful in all 21 patients. A PEG tube was used for a minimum of 1 month and a maximum of 120 months. Twelve patients died while using the PEG tube, 8 had it taken out because it was no longer needed, and only 1 had the tube still in use. Adverse events occurred in 8 patients: granuloma (19 %), dermatitis (9.5 %), accidental late removal of the tube (9.5 %), periprocedural gastric wall hematoma (9.5 %), peristomal wound infection (4.7 %), buried bumper syndrome (4.7 %), and traumatic gastric ulcer (4.7 %). Conclusion A postoperative cervical fistula can successfully work as a reliable and safe access for a PEG tube procedure in HNC patients, avoiding unnecessary surgery and reducing costs.

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