PMID: 64133Jan 1, 1977Paper

Palliation of malignant esophago-respiratory fistulae by permanent indwelling prosthetic tube

Annals of Surgery
M M HegartyA Logan

Abstract

Malignant esophago-respiratory fistula is an incurable condition calsing severe distress to those patients suffering from it. Sixty two successive patients with esophago-respiratory fistulae, secondary to squamous cell carcinomas of the esophagus, were intubated for palliation. The first 14 were intubated by a traction technique using the Celestin tube, and the remaining 48 were intubated by the Procter-Livingstone tube inserted by a pulsion method. Celestin intubation had a mortality of 64.3% but 75% of those intubated by the Procter-Livingstone tube were discharged from hospital, swallowing satisfactorily and relieved of their respiratory distress. In our experience the insertion of the Proctor-Livingstone tube by a pulsion technique, can be performed in a few minutes, with little morbidity and allows the patient to be discharged from hospital within 3-4 days of the procedure. It is a successful and acceptable method of treating malignant esophago-respiratory fistulae.

References

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Citations

Jan 1, 1990·Surgical Endoscopy·P SpinelliE Meroni
Nov 1, 1996·Cardiovascular and Interventional Radiology·W HeindelK Lackner
Jan 1, 1991·Surgical Endoscopy·P SpinelliP Pizzetti
May 18, 2004·Surgical Oncology·Alan D L SihoeAnthony P C Yim
Dec 1, 1977·Annals of Surgery·A A Haffejee, I B Angorn
Jul 1, 1981·World Journal of Surgery·F H Ellis, P R Maggs
Sep 1, 1988·Current Problems in Cancer·T R DeMeester, A P Barlow
Jul 1, 1982·Clinical Radiology·J K LipinskiD I Werner
Feb 1, 1982·The British Journal of Surgery·R Earlam, J R Cunha-Melo
Aug 1, 1988·Current Problems in Surgery·T R DeMeester, A P Barlow
Jul 1, 1988·Current Problems in Surgery·T R DeMeester, A P Barlow
Feb 1, 1983·Gastrointestinal Endoscopy·D Y GrahamM Zubler
Jun 1, 1985·The Annals of Thoracic Surgery·P Y WangC Y Chen

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