Modified prosthesis for the treatment of malignant esophagotracheal fistula

Journal Article · Fri Apr 15 00:00:00 EDT 1988 · Cancer (Philadelphia); (United States)

DOI:https://doi.org/10.1002/1097-0142(19880415)61:8<1679::AID-CNCR2820610828>3.0.CO;2-X· OSTI ID:7130564

Buess, G; Schellong, H; Kometz, B; Gruessner, R J; Junginger, T

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.

• Research Organization: Univ. of Mainz (West Germany)
• OSTI ID: 7130564
• Journal Information: Cancer (Philadelphia); (United States), Vol. 61:8
• Country of Publication: United States
• Language: English

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