New and safe approach: percutaneous endoscopic gastrostomy for the older patient with gastric cancer with dysphagia.

The Japanese have become the longest-lived population in the world. Accordingly, older patients with gastric cancer with dysphasia caused by aging or cerebrovascular insufficiency also increase. Nutritional support is especially important to reduce postoperative morbidity and mortality. On the other hand, it is still a difficult technique to place a percutaneous endoscopic gastrostomy (PEG) for patients with gastrectomy. We developed a new and safe method of PEG placement for high-risk older patients with previous subtotal gastrectomy.