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首页> 外文期刊>Surgical Endoscopy >Prevention of percutaneous endoscopic gastrostomy stoma metastases in patients with active oropharyngeal malignancy.
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Prevention of percutaneous endoscopic gastrostomy stoma metastases in patients with active oropharyngeal malignancy.

机译：预防活动性口咽恶性肿瘤患者的经皮内镜胃造口术造口转移。

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摘要

The implantation of metastasis of oropharyngeal or esophageal cancer to percutaneous endoscopic gastrostomy (PEG) stomata is considered an uncommon complication, but it is being recognized with increasing frequency. The incidence of this complication is not known. Multiple theories of metastatic spread have been proposed. We describe a case following retrograde endoscopy via a PEG stoma site. A National Library of Medicine literature search was performed, and case reports and bibliographies were reviewed. We estimate the incidence of this complication as 1% minimum. Direct seeding of the site is the only reasonable hypothesis to explain this phenomenon. Health care providers need to be educated about this problem. Although there is no direct evidence that metastases are spread by direct contact, we believe that transgression of the active primary tumor during gastrostomy tube placement should be avoided. Laparoscopic gastrostomy tube placement provides a safe, effective, and minimally invasive method of enteral access, which avoids transgression of the primary tumor site, and may prevent stomal metastases in patients with active aerodigestive tract malignancies who require gastrostomy.
机译：经口内窥镜胃造口术（PEG）气孔植入口咽或食道癌是一种不常见的并发症，但人们越来越多地意识到这一点。这种并发症的发生率未知。已经提出了转移扩散的多种理论。我们描述了通过PEG造口部位逆行内窥镜检查后的病例。进行了国家医学图书馆文献检索，并对病例报告和书目进行了审查。我们估计这种并发症的发生率最低为1％。该部位的直接播种是解释该现象的唯一合理假设。需要对医疗保健提供者进行此问题的教育。尽管没有直接证据表明转移是通过直接接触扩散的，但我们认为应避免在胃造口管放置过程中侵犯活动性原发肿瘤。腹腔镜胃造口术管的放置提供了一种安全，有效且微创的肠内入路方法，避免了原发肿瘤部位的侵犯，并可以预防需要进行胃造口术的活动性消化道恶性肿瘤患者的口腔转移。

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