Difficulties of PEG tube insertion in patients with upper GI tract strictures

PEG tube insertion is indicated in prolonged conditions (oncological, neurological, etc.) where adequate oral feeding is not possible, and there is no contraindication. The PEG tube insertion might not be possible in patients with oesophageal, pharyngeal or laryngeal tumor, because the bumper of the PEG tube can stuck in the stricture of the upper GI tract. Case report: In a 68 year old male patient with the history of vocal cord tumor irradiation and laryngectomy, a PEG tube insertion was attempted because of dysphagia but due to the malignant stricture of the pharyngo-oesophageal junction, it was not successfu…