Affordable Access

Publisher Website

Management of malignant tracheoesophageal fistulas with a cuffed funnel tube

Authors
Journal
The Annals of Thoracic Surgery
0003-4975
Publisher
Elsevier
Publication Date
Volume
64
Issue
2
Identifiers
DOI: 10.1016/s0003-4975(97)00552-3
Disciplines
  • Medicine

Abstract

Background. A detachable cuffed flange tube for the assessment of malignant tracheoesophageal fistulas by a minimal invasive surgical insertion technique is presented. The funnel cuff of this tube seals the space between the esophageal wall and the flange of conventional tubes above the fistula at the level of the suprastrictural dilatation. Methods. Twenty-eight patients having a malignant esophagorespiratory fistula with associated primary or secondary esophageal stricture, except 1, underwent esophageal intubation with this prosthesis between 1983 and 1996. Results. All insertion attempts, without previous esophageal dilation, were successful. The overall mortality was 7.4%. The cuffed funnel has provided hermetic watertight exclusion of the fistula in all instances. Intraabdominal septic complications, reflux, or tube displacement have never occurred after use of this intubation technique. Conclusions. For occlusion of malignant respiratory tract fistulas this cuffed flange tube proved to be superior to conventional esophageal prostheses.

There are no comments yet on this publication. Be the first to share your thoughts.

Statistics

Seen <100 times
0 Comments

More articles like this

Management of malignant tracheoesophageal fistulas...

on The Annals of Thoracic Surgery August 1997

Management of tracheoesophageal fistula caused by...

on The American Journal of Surger... August 1972

Management of tracheoesophageal fistula caused by...

on The American Journal of Surger... Jan 01, 1972
More articles like this..