Nutritional support by gastrostomy feedings is an important treatment adjunct when major swallowing difficulty or debilitating diseases is present. This technique for percutaneous placement of a gastric feeding tube now provides many patients with a simple, safe, and well-tolerated alternative to surgical feening gastrostomy. We experienced 27 cases of percutaneous gastrostomy from January 1989 to February 1991 at Kyungpook National University Hostpital. The underlying diseases of the patients were esophageal cancer(11), pyriform sinus cancer(4), laryngeal cancer(3), tongue cancer(2), lye stricture(1), lung cancer(1), chordoma(1), lethal midline granuloma(1), malignant lymphoma(1), maxillary cancer(1), and tonsil cancer(1). Seldinger mothod was cancer. In five patients it was difficult to insert the nasogastri tube for air insufflation, and one patient had subtotal gastrectomy with gastrojejunostomy, but gastrostomy was performed in all cases. The general condition improved in all patients in all patients during their survival period, except two patients who experienced obstruction 2 and 6 months after the procedure. Percutaneous gastrostomy can be used safely and effectively in such patients who have pharyngoesophageal or CNS lesions precluding oral intake.