Esophageal Cancer Stenosis Using PEG-J Catheter for Nutrition Management and Esophageal Decompression

Abstract

A 66-year-old-man had a lower thoracic esophageal cancer with stenosis which metastasized to his liver and lung. Since chemoradiotherapy was difficult due to inability to take meals and frequent vomiting, the establishment of a nutritional pathway and esophageal decompression became essential. The tip of the PEG-J catheter was placed on the oral side of the tumor. Nutrition was given via the decompression route of the PEG-J catheter, and decompression of the esophagus was performed by the nutrition route. The vomiting improved and radiotherapy could be performed in the outpatient clinic. We report a new method for nutrition management and esophageal decompression using PEG-J catheter in a patient with esophageal cancer with stenosis, which enabled earlier discharge than the conventional method.