Endoscopic Treatment with a Cuffed Prosthesis for Malignant Esophago - Bronchial Fistula.
- Author:
Chan Sup SHIM
;
Jong Ho MOON
;
Joon Seong LEE
;
Moon Sung LEE
;
Jin Hong KIM
;
Sung Won CHO
- Publication Type:Original Article
- Keywords:
Malignant esophago - bronchial fistula;
Esophageal cancer;
Cuffed prosthesis
- MeSH:
Bronchial Fistula*;
Esophageal Neoplasms;
Fistula;
Humans;
Intubation;
Latex;
Necrosis;
Prostheses and Implants*;
Quality of Life;
Rubber;
Saliva;
Silicones;
Vacuum
- From:Korean Journal of Gastrointestinal Endoscopy
1992;12(2):221-226
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Malignant esophago-bronchial fistula is an incurable and distressing condition. The passage of swallowed saliva and solid or liquid food into the bronchial tree causes coqghing and frequent pulmonary infection and collapse. Most patients are unfit for major surgery, but intubation offers a quick, simple and effective treatment with improved length and quality of life. However, intubation with simple esophageal tubes are liable to result in failure to occlude the fistela, migration of the tube, erosion, and in the case of latex tubes, disintegration. To overcome these problems, the fistula is intubated perorally with a prosthesis surrounded by a foam rubber cuff contained ia silicone sheath, in which vacuum can be created. This cuffed prosthesis is the most satisfactory design for the treatment of malignant esophago-bronchial fistula with effiective and gentle occlusion of the fistula without risk of pressure necrosis. We experienced a case of the endoscopic treatment with a cuffed prosthesis for malignant esophago-bronchial fistula. So we report this case with brief review of the previous literatures.
