Progress in Prevention and Treatment of the fistula metastasis after percutaneous endoscopic gastrostomy in head and neck/Esophageal tumors

VernacularTitle:经皮内镜下胃造口术后造口周围转移的初步探讨
Author: Ying WANG ¹ ; Ying CHEN ; Duke CHEN
Author Information

1. 重庆医科大学附属第一医院肿瘤科
Keywords: Head and neck cancer; Esophageal cancer; Percutaneous endoscopic gastrostomy; Abdominal wall metastases
From: Parenteral & Enteral Nutrition 2018;25(2):116-119
CountryChina
Language:Chinese
Abstract: Because of tumor compression,blockage,and anti-tumor treatment,patients with head and neck cancer or esophagus cancer often have many adverse reactions,such as dysphagia,loss of appetite,taste disappeared and so on,leading to malnutrition and weight loss,which requires nutritional support treatment.Percutaneous endoscopic gastrostomy(PEG) is a simple technology widely used in clinic which has less complications can improve patients'nutritional status and quality of life.However,the phenomenon of fistula metastasis is easy to be neglected due to lower incidence.the pathogenesis of fistula metastasis is unclear.The occurrence of complications can be reduced by preoperative radiotherapy and chemotherapy,overtubes,povidone iodine and a good fistula care.Surgery,interstitial brachytherapy and radiofrequency ablation therapy may be effective.This article will review the pathogenesis,prevention and prognosis of tumor metastasis after percutaneous endoscopic gastrostomy.