A modified prosthesis for the treatment of malignant esophagotracheal fistula

G. Buess, R. Grüßner, TH Junginger, H. Schellong, B. Kometz

Research output: Contribution to journalArticle

24 Scopus citations

Abstract

Esophagotracheal fistula is usually a sequela of irradiation or laser treatment of advanced carcinoma of the esophagus or the tracheobronchial tree. Resection of the tumor in these cases is not possible, and palliative bypass surgery is highly risky. The peroral placement of a prosthesis is less invasive, but conventional prostheses often fail to occlude the fistula. The authors regularly use an endoscopic multiple‐diameter bougie for dilation. After dilation, a specially designed prosthesis is pushed through the tumor stenosis to block the fistula. This procedure can be done without general anesthesia. The funnels of conventional prostheses cannot cover the fistula when there is either a wide, proximal esophagus above the fistula or a high fistula. To cope with this particular situation, a special fistula funnel was developed. It perfectly occludes the fistulas in all patients. Of 21 patients, 19 were discharged without further aspiration.

Original languageEnglish (US)
Pages (from-to)1679-1684
Number of pages6
JournalCancer
Volume61
Issue number8
DOIs
StatePublished - Apr 15 1988

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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