经皮的内视镜的 gastrostomy 的稀罕复杂并发症: 食道的癌的 Ostomy 转移

• 作者: Ana Lúcia Sousa Diamantino Sousa Francisco Velasco Francisco Aucena Ana Lopes Horácio Guerreiro
• 来源期刊: 世界胃肠肿瘤学杂志：英文版（电子版）
• 学科: 医学
• 关键词: ENTERAL NUTRITION GASTROSTOMY Esophageal neoplasms NEOPLASM metastasis OSTOMY
• 年，卷（期）: 2013,（11）
• 页码范围: 204-206
• 页数: 3页
• 分类号: R735.1

摘要

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 hystologic 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 phenomenom is limited. Nevertheless, metastasis in ostomy site could be prevented by the push method, laparoscopy or laparotomy.