Open AccessRare complication of percutaneous endoscopic gastrostomy: Ostomy metastasis of esophageal carcinoma
Author(s) -
A Sousa,
Diamantino Sousa,
Francisco Velasco,
Francisco Açucena,
Ana Elisa Ricci Lopes,
Horácio Guerreiro
Publication year - 2013
Publication title -
world journal of gastrointestinal oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.924
H-Index - 26
ISSN - 1948-5204
DOI - 10.4251/wjgo.v5.i11.204
Subject(s) - medicine , percutaneous endoscopic gastrostomy , metastasis , surgery , context (archaeology) , esophageal cancer , gastrostomy , laparotomy , endoscopy , complication , percutaneous , cancer , general surgery , radiology , peg ratio , paleontology , finance , economics , biology
The authors present the case of a 55-year-old male with a stage III (T4N1M0) squamous-cell esophageal carcinoma, who underwent percutaneous endoscopic gastrostomy (PEG). The pull method of tube placement was used. Five months after the procedure, the patient was referred to the hospital with a hard palpable tumour at the ostomy site. The histologic exam revealed an abdominal wall metastasis of the esophageal cancer. The authors present this case because of the rarity of metastasis in ostomy after placement of PEG in patients with tumours located in the head and neck. In this particular context and judging by the rarity of situation, the clinical impact of this phenomenon is limited. Nevertheless, metastasis in ostomy site could be prevented by the push method, laparoscopy or laparotomy.