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Rarely, HNC metastases have been reported at the PEG site, a morbidity associated with a poor outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Along with a case report, an evaluation of PEG placement methods with metastases from the literature was completed along with a statistical analysis of the literature to determine PEG site metastases and method of placement correlations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The incidence of PEG metastases in patients with HNC with the \u201cpull\u201d method is statistically identical to that of patients receiving any other method for PEG placement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>When considering options for the placement of PEG tubes in patients with HNC, the \u201cpull\u201d method should not be considered as a technique which will put patients at risk for PEG site metastases more than any other method of placement.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.25564","type":"journal-article","created":{"date-parts":[[2019,1,8]],"date-time":"2019-01-08T19:48:56Z","timestamp":1546976936000},"page":"1508-1516","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Head and neck cancer PEG site metastases: Association with PEG placement method"],"prefix":"10.1002","volume":"41","author":[{"given":"Mary K.","family":"Montes de Oca","sequence":"first","affiliation":[{"name":"University of South Carolina School of Medicine Greenville  Greenville South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Nye","sequence":"additional","affiliation":[{"name":"University of South Carolina School of Medicine Greenville  Greenville South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Porter","sequence":"additional","affiliation":[{"name":"University of South Carolina School of Medicine Greenville  Greenville South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Collins","sequence":"additional","affiliation":[{"name":"Institute for Translational Oncologic Research Greenville Health System  Greenville South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corey","family":"Satterfield","sequence":"additional","affiliation":[{"name":"Clemson University  Clemson South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6109-5344","authenticated-orcid":false,"given":"Christine M. 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