Abstract

FONSECA, Jorge et al. Ostomy metastasis after pull endoscopic gastrostomy: a unique favorable outcome. Nutr. Hosp. [online]. 2015, vol.31, n.4, pp.1879-1881. ISSN 1699-5198.  https://dx.doi.org/10.3305/nh.2015.31.4.8262.

Head and neck cancer (HNC) patients tend to develop dysphagia. In order to preserve the nutritional support, many undergo endoscopic gastrostomy (PEG). In HNC patients, ostomy metastasis is considered a rare complication of PEG, but there are no reports of successful treatment of these metastatic cancers. We report the case of a 65 years old pharyngeal/laryngeal cancer patient who underwent a PEG before the neck surgery. He was considered to be cured, resumed oral intake and the PEG tube was removed. Ten months after, he returned with a metastasis at the ostomy site. A block resection of the stomach and abdominal wall was performed. Two years after the abdominal surgery, he is free of disease. Although usually considered a rare complication of the endoscopic gastrostomy, ostomy metastasis may be more frequent than usually considered and the present case report demonstrates that these patients may have a favourable outcome.

Keywords : Metastasis; Gastrostomy; PEG.

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