Background: Head and Neck Surgery (tongue, larynx, pharynx and upper jaw) of recent year became possible with the introduction of microscopic surgery and patients QOL has been improved dramatically, the length of hospital stay also shortened. However, generally nutritional support have been managed by ‡@intravenous-hyperalimentation or Aenteral feeding via nasal. In case of IVH, it has prevented early discharge from hospital and early recovery of social activities and in case of enteral feeding via nasal tube, it inflicted pain in patients and prevented early discharge from hospital. As we have adapted percutaneous endoscopic gastrostomy (PEG) to improve nutritional status of patients who are scheduled for surgical operation for head and neck cancer, to start early enteral feeding, and early discharge from hospital, we report the method and the result. Subject and Method: Subjects were 12 patients in Ear and Nose Dept. who have been operated (4 cases of tongue cancer, 3 cases of oral floor cancer, 3 cases of upper jaw and 2 cases of lowerpharynx cancer). When nutritional support is necessary after the operation, the patient received enteral feeding in addition to oral feeding. Nutritional assessment and volume of oral feeding were evaluated at the out-patient office. When improvement in nutritional status is confirmed, enteral feeding was discontinued, and PEG was removed. Result: As complications of PEG there were 3 cases of peristomal infection at an early stage and 1 case of furyo granulation. Nutritional status was poor in all these patients prior to the operation, and they received enteral nutritional support prior to the operation. 1850Kcal on average was administeredfor 12.5 days on average. Complicationdue to enteral feeding was moderate diarrheaand stomachache in one patient. Enteral feeding was started on 1.8 P.O.D. on average and only electrolytewas administered intravenously. 9 cases that required additional treatment were discharged after 20.3 days on average. The period of home enteral feeding lasted 4.5 months on average. Conclusion: Enteral nutrition using PEG before and after the operationand home care nutritional management of head and neck cancer patients is effective in reducing the burden to patients, the medical expense, resuming social life early, shortening the hospital stay and improving nutritional status and can be a new strategic treatment. Background: Head and Neck Surgery (tongue, larynx, pharynx and upper jaw) of recent year became possible with the introduction of microscopic surgery and patients QOL has been improved dramatically, the length of hospital stay also shortened. However, generally nutritional support have been managed by ‡@intravenous-hyperalimentation or Aenteral feeding via nasal. In case of IVH, it has prevented early discharge from hospital and early recovery of social activities and in case of enteral feeding via nasal tube, it inflicted pain in patients and prevented early discharge from hospital. As we have adapted percutaneous endoscopic gastrostomy (PEG) to improve nutritional status of patients who are scheduled for surgical operation for head and neck cancer, to start early enteral feeding, and early discharge from hospital, we report the method and the result. Subject and Method: Subjects were 12 patients in Ear and Nose Dept. who have been operated (4 cases of tongue cancer, 3 cases of oral floor cancer, 3 cases of upper jaw and 2 cases of lowerpharynx cancer). When nutritional support is necessary after the operation, the patient received enteral feeding in addition to oral feeding. Nutritional assessment and volume of oral feeding were evaluated at the out-patient office. When improvement in nutritional status is confirmed, enteral feeding was discontinued, and PEG was removed. Result: As complications of PEG there were 3 cases of peristomal infection at an early stage and 1 case of furyo granulation. Nutritional status was poor in all these patients prior to the operation, and they received enteral nutritional support prior to the operation. 1850Kcal on average was administeredfor 12.5 days on average. Complicationdue to enteral feeding was moderate diarrheaand stomachache in one patient. Enteral feeding was started on 1.8 P.O.D. on average and only electrolytewas administered intravenously. 9 cases that required additional treatment were discharged after 20.3 days on average. The period of home enteral feeding lasted 4.5 months on average. Conclusion: Enteral nutrition using PEG before and after the operationand home care nutritional management of head and neck cancer patients is effective in reducing the burden to patients, the medical expense, resuming social life early, shortening the hospital stay and improving nutritional status and can be a new strategic treatment.