PEG was developed rapidly in recent years, attracted the attention of the clinicians. ESPEN regarded PEG as the preferred way of radiotherapy in patients with enteral nutrition, and it was recommend in the 2006 tumor enteral nutrition guidelines. Clinical practice had proved that advanced head and neck cancer patients could get nutritional treatment through PEG, stoping and reversing weight loss. PEJ was developed based on the PEG, PEJ was more suitable for patients with gastric/esophageal reflux, incomplete pyloric/duodenal obstruction and delayed gastric emptying. There was not high level of RCT comparing PEG with PEJ until now. The usage of PEJ was similar as PEG, the choice of PEJ should considered whether the patients was contraindicated for PEG.