Metastatic squamous cell carcinoma from primary hypopharynx source to gastric mucosa presenting as massive gastrointestinal bleeding

Percutaneous endoscopic gastrostomy (PEG) is a relatively safe procedure that represents an important supportive adjunctive component for patients with primary head and neck squamous cell carcinoma (HNSCC). The HNSCC population is considered a high-risk group for developing critical nutritional deficiency due to a multitude of factors.