Abstract

A 65-year-old man with 3 weeks of dysphagia and 8 kg weight loss was found to have a squamous cell carcinoma of the right pyriform sinus. To maintain nutrition, a percutaneous endoscopic gastrostomy (PEG) tube was inserted via upper endoscopy using the pull technique. Feeding via the PEG tube was commenced 12 hours after insertion without complication. A subsequent fluorodeoxyglucose positron emission tomography scan performed for cancer staging showed intense metabolic uptake in the right colon (Figure A).

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