S. Barrias* ¹, P. Lago¹, C. Caetano¹, C. Nogueira², J. Areias¹

Resumo

A colocação de sonda por gastrostomia endoscópica percutânea é aceite como via alternativa para alimentação entérica em doentes com neoplasias obstrutivas laringofaríngeas ou esofágicas. A implantação metastática no estoma é uma complicação rara mas crescentemente referenciada na literatura, sendo importante a sua divulgação. Os autores apresentam, com iconografia, um caso de metastização de cancro esofágico para o estoma de gastrostomia endoscópica percutânea e fazem uma revisão da literatura.

Summary

Percutaneous endoscopic gastrostomy tube placement is a widely accepted alternative route for providing enteral nutrition in patients with laryngeal, pharyngeal or oesophageal cancer causing obstruction. Metastatic implantation to the stoma is an uncommon complication but one that is being recognized with increasing frequency; and it is important that it be reported. The authors describe a case of metastasis of an oesophageal cancer at a percutaneous endoscopic gastrostomy stoma with iconography and present a literature review.

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Bibliografia

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* Correspondência:

Sílvia Barrias

Hospital Geral de Santo António

Largo do Prof. Abel Salazar

4099 - 001 Porto

Tel.: 222077500 ext 1372

Fax: 222088109

(1) Serviço de Gastrenterologia

(2) Serviço de Cirurgia 1

Hospital Geral de Santo António, Porto, Portugal.

Recebido para publicação: 05/12/2005

Aceite para publicação: 17/05/2006