Percutaneous endoscopic gastrostomy site metastasis.
Metastases to gastrostomy sites are a rare but significant complication of percutaneous endoscopic gastrotomy (PEG) placement in cancer patients. Both direct seeding and hematogenous spread have been suggested as possible mechanisms. This article outlines the incidence, presentation, pathogenesis, and management of PEG-site metastases.
Tsai
John K
JK
Gastroenterology and Nutrition Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY 10021, USA.
Schattner
Mark
M
D016099:Endoscopy, Gastrointestinal / Q000009:adverse effects*; D004750:Enteral Nutrition / Q000009:adverse effects; D005774:Gastrostomy / Q000009:adverse effects*; D006801:Humans; D015994:Incidence; D007441:Intubation, Gastrointestinal / Q000009:adverse effects*; D009362:Neoplasm Metastasis / Q000473:pathology*; D009752:Nutritional Status; D018529:Nutritional Support; D012307:Risk Factors