Risk Of Tumor Seeding In Percutaneous Endoscopic Gastrostomy (PEG) In Aerodigestive Tumors; A Single Centre Experience

Aims The pull technique of percutaneous endoscopic gastrostomy (PEG) is considered to be risk factor for PEG site metastasis, which is associated with poor outcome. We are placing PEG tubes in aerodigestive cancers since 2008 via pull method. We aim to look for the incidence of PEG site metastasis in our population and to document nutritional benefits and 30 days mortality of PEG tube in aerodigestive cancers.

Methods This retrospective single centre study was performed at Shaukat Khanum Cancer Memorial and Research centre, Lahore, for the duration of 10 years (2009-2019). Total 1782 patient were ncluded.

Results Six out of all the included patients had PEG site metastasis, making it 0.36%. The average time of development of stromal metastasis was eight months after insertion of PEG tube. Which is less when compared with literature, 0.56% with pull method. The overall BMI and albumin levels were remained stable and the values were statistically significant as well. Two patients had 30 days mortality, which was non PEG related [1] [2] [3] [4] [5] [6].

Conclusions Pull technique is not a risk factor for peg site metastaisis and there must other route, like haemaological or lymphocytic spread. Prophylactic PEG tube is safe in oesophageal CA and is associated with maintaining the nutritional status.

Publikationsverlauf

Artikel online veröffentlicht:
14. April 2023

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