Innovative push percutaneous endoscopic gastrostomy by means of gastropexy and Foley catheter in a patient with advanced head and neck and esophageal cancer

Push percutaneous endoscopic gastrostomy (PEG) is a noninvasive endoscopically assisted procedure that avoids the disadvantages of surgical gastrostomy while minimizing the risks of cancer seeding to the stroma, especially in patients with head and neck or esophageal cancers [1] [2] [3]. However, it still has some drawbacks in terms of tube-related complications and the cost of the PEG kit [2] [4]. There are many different techniques for gastropexy with dedicated kits available [3]. In addition, the Foley catheter may be used safely as a gastrostomy tube and is available at most institutions and inexpensive compared with commercial devices [5]. With these considerations we developed a safe and simple push PEG technique for oncology patients.