Abstract
Background: Nutritional disorders are the major problem for patients with advanced head and neck cancer (HNC) or esophageal cancer (EC) patients. PEG is a method for improving nutritional status in these patients. Furthermore, prophylactic PEG before chemoradiotherapy (CRT) is advocated, especially for HNC patients. However, implantation metastasis can occur at the PEG placement site after PEG insertion using the “pull” method, as the PEG tube passes the area, which is stenotic due to the cancer.
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