Metastasis of carcinosarcoma of oesophagus to gastrostomy site

Hameed, Hassan; Khan, Yakub

doi:10.1016/j.bjoms.2008.10.015

Cited by 12 publications

(6 citation statements)

References 5 publications

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“…For Nicholson et al, 73% of their 168 cases had neurological pathology and most of them were problematic patients with cerebrovascular attacks. 12 In our previously published study and in our ongoing study, most of the patients had difficulty with oral nutrition or could not be fed orally at all due to neurological pathology. 13 The timing of a PEG intervention, the right indications, and the patient's choice are important in preventing morbidity.…”

Section: Discussionmentioning

confidence: 85%

Long-term results of percutaneous endoscopic gastrostomies

Çakır¹

2012

Dicle Med J

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ÖZET Amaç: Oral gıda alamayan, özellikle yoğun bakım ünitelerinde yatmakta olan hastalara enteral beslenme desteği sağlamak amacıyla minimal invaziv bir metod olan perkutan endoskopik gastrostomi (PEG) deneyimimizi sunmayı amaçladık. Gereç ve yöntem:Bu çalışmada kliniğimizde Ocak 2000 -Haziran 2010 tarihleri arasında en az 4 hafta süreyle oral beslenemeyeceği öngörülerek PEG yerleştirilen 700 olgu retrospektif olarak incelendi. Hasta kayıtları endikasyonlar, komplikasyonlar ve sonuçları açısından değerlendirildi. Bulgular:Hastaların 400' (% 57) ü erkek, 300' ü (%43) bayandı. Olguların büyük çoğunluğu nörolojik nedenli patolojilerdi. Tüm hastalarda beslenme problemi vardı. PEG sonrası 50 (%7.1) hastada cilt altı infeksiyonu, 18 (%2.5) hastada PEG kenarından kaçak, 16 (%2.0) hastada PEG kenarından kanama görüldü.Sonuç: PEG, minimal invaziv bir girişim ile yapılabilmesi, mortalite ve morbiditesinin çok az olması nedeniyle yoğun bakım hastaları için basit, emniyetli ve etkili bir beslenme yöntemidir. ABSTRACT Objectives:In order to provide enteral nutrition for patients in intensive-care units who cannot be fed orally, we aimed to present our percutaneous endoscopic gastrostomy (PEG) experience, which is a minimally invasive method. Materials and methods:In this study, 700 patients who applied to our clinic between January 2000 and June 2011 and who had a PEG because they could not be fed orally were retrospectively assessed in terms of indications, complications, and results.Results: Among these patients, 400 (57%) were male and 300 (43%) were female. Most of the patients with feeding problems had also neurologically caused pathologies. After the PEG, 50 (7.1%) patients had under-skin infections, 18 (2.5%) patients had leakage from the edge of the PEG, and 16 (2.0%) patients had bleeding from the edge of the PEG.Conclusion: PEG is a secure and effective nutrition method as it can be performed with a minimally invasive procedure and it has low mortality and morbidity.

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Section: Discussionmentioning

confidence: 85%

Long-term results of percutaneous endoscopic gastrostomies

Çakır¹

2012

Dicle Med J

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“…The majority (82%) of cases were of head and neck cancer, the remainder oesophageal cancer. Histology (not reported in four cases) was squamous carcinoma in all but four cases (one each of carcinosarcoma of the cervical esophagus, oesophageal adenocarcinoma, pharyngeal adenocarcinoma, and tongue adenocarcinoma). In cases where the stage was clearly stated, 39 of 64 (61%) were T 4 and 52 of 63 (83%) were node‐positive.…”

Section: Resultsmentioning

confidence: 92%

“…Details of case reports are tabulated in Table . A series of earlier cases reviewed in detail by Coletti is included (but excluding a possible duplicate report).…”

Section: Resultsmentioning

confidence: 99%

Tumor implantation following percutaneous endoscopic gastrostomy insertion for head and neck and oesophageal cancer: Review of the literature

Rowell

2019

Head & Neck

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Background Because of publication bias, there is uncertainty about the true incidence of tumor seeding or implantation in patients with head and neck or oesophageal cancer undergoing percutaneous endoscopic gastrostomy (PEG) insertion. Methods In order to obtain a more reliable estimate of risk, a systematic review was undertaken. Randomized or non‐randomized studies and case reports were identified by electronic searching. A risk of bias assessment was carried out for each study. Results Ninety‐eight cases from 74 published case reports and 1 unpublished case were identified. Synchronous distant metastases were present in 37%. Analysis of case series (6192 patients) considered to carry a moderate risk of bias suggests an incidence of seeding after PEG insertion of 0.32%. Studies carrying a lower risk of bias indicate a risk of seeding closer to 1 in 2000. Conclusion The true risk of seeding after PEG insertion is probably less than 1 in 1000.

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“…Seeding of percutaneous endoscopic gastrostomy sites on the abdominal wall has also been described in patients with esophageal or other head and neck cancers who underwent percutaneous endoscopic gastrostomy placement [6,7]. Although cancer arising at a gastrostomy site has previously been reported, these lesions were clearly associated with a primary tumor at a distant site.…”

Section: Discussionmentioning

confidence: 95%