[A rare complication of percutaneous endoscopic gastrostomy: metastasis of adenocarcinoma of the stomach in the area of the gastric stoma].
A percutaneous endoscopic gastrostomy (PEG) was placed by the "pull technique" in a 67-year old patient before initiation of palliative radiation therapy of a gastric adenocarcinoma invading the distal esophagus. A tumor metastasis developed in the peristomal area and around the gastrocutaneous fistula tract; it was most likely caused by implantation of tumor tissue adhering to the PEG tube. This complication of PEG placement appears to be very rare.
Heinbokel
N
N
Allgemeines Krankenhaus Heidberg, Medizinische Abteilung, Hamburg.
König
V
V
Nowak
A
A
Carstens
V
V
D000008:Abdominal Neoplasms / Q000473:pathology / Q000556:secondary*; D000230:Adenocarcinoma / Q000473:pathology / Q000532:radiotherapy / Q000556:secondary*; D000368:Aged; D002299:Cardia / Q000473:pathology; D005774:Gastrostomy; D006801:Humans; D008297:Male; D009367:Neoplasm Staging; D010166:Palliative Care; D012867:Skin / Q000473:pathology; D012878:Skin Neoplasms / Q000473:pathology / Q000556:secondary*; D013274:Stomach Neoplasms / Q000473:pathology* / Q000532:radiotherapy; D014057:Tomography, X-Ray Computed