title: Ostomy metastasis after pull endoscopic gastrostomy: a unique favorable outcome.
abstract: 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.
authors: GENE, Enteral Feeding Group, Hospital Garcia de Orta, Almada.Serviço de Gastrenterologia, Hospital Garcia de Orta, Almada.. jorgedafonseca@hotmail.com.
authors: Jorge
authors: J
authors: Fonseca
authors: GENE, Enteral Feeding Group, Hospital Garcia de Orta, Almada.. jorgedafonseca@hotmail.com.
authors: Carla
authors: C
authors: Adriana
authors: Serviço de Cirurgia, Hospital Garcia de Orta, Almada. Portugal.. jorgedafonseca@hotmail.com.
authors: Miguel
authors: M
authors: Fróis-Borges
authors: GENE, Enteral Feeding Group, Hospital Garcia de Orta, Almada.Serviço de Gastrenterologia, Hospital Garcia de Orta, Almada.. jorgedafonseca@hotmail.com.
authors: Tânia
authors: T
authors: Meira
authors: Serviço de Cirurgia, Hospital Garcia de Orta, Almada. Portugal.. jorgedafonseca@hotmail.com.
authors: Gabriel
authors: G
authors: Oliveira
authors: Serviço de Cirurgia, Hospital Garcia de Orta, Almada. Portugal.. jorgedafonseca@hotmail.com.
authors: José Carlos
authors: JC
authors: Santos
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell; D005774:Gastrostomy / Q000009:adverse effects*; D006258:Head and Neck Neoplasms / Q000601:surgery; D006801:Humans; D008297:Male; D018529:Nutritional Support; D010030:Ostomy / Q000009:adverse effects*; D000077195:Squamous Cell Carcinoma of Head and Neck; D016896:Treatment Outcome