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.
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- Ammann J. F., Collis J. L. Palliative intubation of the esophagus. Analysis of 59 cases. J Thorac Cardiovasc Surg. 1971 Jun;61(6):863–869. [PubMed] [Google Scholar]
- Burrell R. J., Roach W. A., Shadwell A. Esophageal cancer in the Bantu of the Transkei associated with mineral deficiency in garden plants. J Natl Cancer Inst. 1966 Feb;36(2):201–209. [PubMed] [Google Scholar]
- CELESTIN L. R. Permanent intubation in inoperable cancer of the oesophagus and cardia: a new tube. Ann R Coll Surg Engl. 1959 Aug-Sep;25:165–170. [PMC free article] [PubMed] [Google Scholar]
- Das S. K., John H. T. Oesophageal intubation in obstructive lesions of the oesophagus. Br J Surg. 1973 May;60(5):403–406. doi: 10.1002/bjs.1800600525. [DOI] [PubMed] [Google Scholar]
- GORDON W. BYPASS FOR MALIGNANT OBSTRUCTION OF THE ESOPHAGUS. Ann Surg. 1963 Jul;158:47–50. doi: 10.1097/00000658-196307000-00009. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gunnlaugsson G. H., Wychulis A. R., Roland C., Ellis F. H., Jr Analysis of the records of 1,657 patients with carcinoma of the esophagus and cardia of the stomach. Surg Gynecol Obstet. 1970 Jun;130(6):997–1005. [PubMed] [Google Scholar]
- Heafitz M., Irarrazaval M., Heubl H., Gibson H. A simple technique for intubation of the esophagus for fistulae and obstructions. Chest. 1974 Mar;65(3):359–360. doi: 10.1378/chest.65.3.359. [DOI] [PubMed] [Google Scholar]
- KOVARIK J. L. PALLIATIVE TREATMENT OF A BRONCHOESOPHAGEAL FISTULA. J Thorac Cardiovasc Surg. 1963 Aug;46:252–255. [PubMed] [Google Scholar]
- Lowe W. C. Survival with carcinoma of the esophagus. Ann Intern Med. 1972 Dec;77(6):915–918. doi: 10.7326/0003-4819-77-6-915. [DOI] [PubMed] [Google Scholar]
- MACKLER S. A., MAYER R. M. Palliation of esophageal obstruction due to carcinoma with a permanent intraluminal tube. J Thorac Surg. 1954 Oct;28(4):431-43; discussion, 443-5. [PubMed] [Google Scholar]
- MOUSSEAU, LE FORESTIER J., BARBIN J., HARDY M. Place de l'intubation à demeure dans le traitement palliatif du cancer de l'oesophage. Arch Mal Appar Dig Mal Nutr. 1956 Mar;45(3):208–214. [PubMed] [Google Scholar]
- Palmer E. D. Experiences with management of malignant esophagorespiratory fistula by peroral esophageal prosthesis. Gastrointest Endosc. 1970 Aug;17(1):12–16. [PubMed] [Google Scholar]
- WEISEL W., RAINE F., WATSON R. R., FREDERICK J. J. Palliative treatment of esophageal carcinoma: a method and its evaluation. Ann Surg. 1959 Feb;149(2):207–216. doi: 10.1097/00000658-195902000-00006. [DOI] [PMC free article] [PubMed] [Google Scholar]