Management of Malignant Esophagorespiratory Fistula
Esophagorespiratory communication developed in 46 patients among 570 with esophageal cancer. Therapy was basically palliative and aimed at mechanical interruption of the fistula, restoration of esophageal continuity, and avoidance of external tubes and appliances. Supportive therapy, gastrostomy, tr...
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| Veröffentlicht in: | The Annals of thoracic surgery 1978-06, Vol.25 (6), p.516-520 |
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| container_title | The Annals of thoracic surgery |
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| creator | Lolley, David M. Ray, Jefferson F. Ransdell, Herbert T. Razzuk, Maruf A. Urschel, Harold C. |
| description | Esophagorespiratory communication developed in 46 patients among 570 with esophageal cancer. Therapy was basically palliative and aimed at mechanical interruption of the fistula, restoration of esophageal continuity, and avoidance of external tubes and appliances. Supportive therapy, gastrostomy, tracheostomy, and esophageal exclusion and diversion procedures resulted in little prolongation of life and poor palliation of the patient. Permanent endoesophageal intubation with tubes of the Celestin variety resulted in best palliation with minimal operative risk for most terminal patients. Colon bypass and occasional resection can accomplish the same goal and possibly provide long-term survival in good-risk, young patients with small tumors. |
| doi_str_mv | 10.1016/S0003-4975(10)63600-4 |
| format | Article |
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Therapy was basically palliative and aimed at mechanical interruption of the fistula, restoration of esophageal continuity, and avoidance of external tubes and appliances. Supportive therapy, gastrostomy, tracheostomy, and esophageal exclusion and diversion procedures resulted in little prolongation of life and poor palliation of the patient. Permanent endoesophageal intubation with tubes of the Celestin variety resulted in best palliation with minimal operative risk for most terminal patients. Colon bypass and occasional resection can accomplish the same goal and possibly provide long-term survival in good-risk, young patients with small tumors.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/S0003-4975(10)63600-4</identifier><identifier>PMID: 77661</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Adenocarcinoma - complications ; Adult ; Aged ; Carcinoma, Squamous Cell - complications ; Esophageal Fistula - etiology ; Esophageal Fistula - mortality ; Esophageal Fistula - surgery ; Esophageal Neoplasms - complications ; Female ; Fistula - surgery ; Humans ; Intubation, Gastrointestinal ; Male ; Middle Aged ; Palliative Care ; Radiography ; Respiratory Tract Diseases - surgery ; Tracheoesophageal Fistula - diagnostic imaging ; Tracheoesophageal Fistula - surgery</subject><ispartof>The Annals of thoracic surgery, 1978-06, Vol.25 (6), p.516-520</ispartof><rights>1978 The Society of Thoracic Surgeons</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440t-59a42c8aa870a1d7ee2c0c53d986ceabf045c1f77d658a4ab28cbd4cb40476a23</citedby><cites>FETCH-LOGICAL-c440t-59a42c8aa870a1d7ee2c0c53d986ceabf045c1f77d658a4ab28cbd4cb40476a23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/77661$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lolley, David M.</creatorcontrib><creatorcontrib>Ray, Jefferson F.</creatorcontrib><creatorcontrib>Ransdell, Herbert T.</creatorcontrib><creatorcontrib>Razzuk, Maruf A.</creatorcontrib><creatorcontrib>Urschel, Harold C.</creatorcontrib><title>Management of Malignant Esophagorespiratory Fistula</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><description>Esophagorespiratory communication developed in 46 patients among 570 with esophageal cancer. Therapy was basically palliative and aimed at mechanical interruption of the fistula, restoration of esophageal continuity, and avoidance of external tubes and appliances. Supportive therapy, gastrostomy, tracheostomy, and esophageal exclusion and diversion procedures resulted in little prolongation of life and poor palliation of the patient. Permanent endoesophageal intubation with tubes of the Celestin variety resulted in best palliation with minimal operative risk for most terminal patients. Colon bypass and occasional resection can accomplish the same goal and possibly provide long-term survival in good-risk, young patients with small tumors.</description><subject>Adenocarcinoma - complications</subject><subject>Adult</subject><subject>Aged</subject><subject>Carcinoma, Squamous Cell - complications</subject><subject>Esophageal Fistula - etiology</subject><subject>Esophageal Fistula - mortality</subject><subject>Esophageal Fistula - surgery</subject><subject>Esophageal Neoplasms - complications</subject><subject>Female</subject><subject>Fistula - surgery</subject><subject>Humans</subject><subject>Intubation, Gastrointestinal</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Palliative Care</subject><subject>Radiography</subject><subject>Respiratory Tract Diseases - surgery</subject><subject>Tracheoesophageal Fistula - diagnostic imaging</subject><subject>Tracheoesophageal Fistula - surgery</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1978</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE9Lw0AQxRexaK1-AhF6Ej1Ed5P9k5xESqtCiwf1vEw2k7qSZONuIvTbm7bSq6fhzXszw_wIuWL0jlEm798opUnEMyVuGL2ViaQ04kdkzISIIxmL7JiMD5FTchbC1yDjwT4hI6WkZGOSrKCBNdbYdFNXTldQ2XUDg5gH137C2nkMrfXQOb-ZLmzo-grOyaiEKuDFX52Qj8X8ffYcLV-fXmaPy8hwTrtIZMBjkwKkigIrFGJsqBFJkaXSIOQl5cKwUqlCihQ45HFq8oKbnFOuJMTJhFzv97beffcYOl3bYLCqoEHXB604ZbGS2RAU-6DxLgSPpW69rcFvNKN6i0rvUOkth21rh0rzYe7y70Cf11gcpnZsBvdh7-Lw449Fr4Ox2BgsrEfT6cLZf_b_AjIceGE</recordid><startdate>197806</startdate><enddate>197806</enddate><creator>Lolley, David M.</creator><creator>Ray, Jefferson F.</creator><creator>Ransdell, Herbert T.</creator><creator>Razzuk, Maruf A.</creator><creator>Urschel, Harold C.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>197806</creationdate><title>Management of Malignant Esophagorespiratory Fistula</title><author>Lolley, David M. ; Ray, Jefferson F. ; Ransdell, Herbert T. ; Razzuk, Maruf A. ; Urschel, Harold C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-59a42c8aa870a1d7ee2c0c53d986ceabf045c1f77d658a4ab28cbd4cb40476a23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1978</creationdate><topic>Adenocarcinoma - complications</topic><topic>Adult</topic><topic>Aged</topic><topic>Carcinoma, Squamous Cell - complications</topic><topic>Esophageal Fistula - etiology</topic><topic>Esophageal Fistula - mortality</topic><topic>Esophageal Fistula - surgery</topic><topic>Esophageal Neoplasms - complications</topic><topic>Female</topic><topic>Fistula - surgery</topic><topic>Humans</topic><topic>Intubation, Gastrointestinal</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Palliative Care</topic><topic>Radiography</topic><topic>Respiratory Tract Diseases - surgery</topic><topic>Tracheoesophageal Fistula - diagnostic imaging</topic><topic>Tracheoesophageal Fistula - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lolley, David M.</creatorcontrib><creatorcontrib>Ray, Jefferson F.</creatorcontrib><creatorcontrib>Ransdell, Herbert T.</creatorcontrib><creatorcontrib>Razzuk, Maruf A.</creatorcontrib><creatorcontrib>Urschel, Harold C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lolley, David M.</au><au>Ray, Jefferson F.</au><au>Ransdell, Herbert T.</au><au>Razzuk, Maruf A.</au><au>Urschel, Harold C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Management of Malignant Esophagorespiratory Fistula</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>1978-06</date><risdate>1978</risdate><volume>25</volume><issue>6</issue><spage>516</spage><epage>520</epage><pages>516-520</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><abstract>Esophagorespiratory communication developed in 46 patients among 570 with esophageal cancer. Therapy was basically palliative and aimed at mechanical interruption of the fistula, restoration of esophageal continuity, and avoidance of external tubes and appliances. Supportive therapy, gastrostomy, tracheostomy, and esophageal exclusion and diversion procedures resulted in little prolongation of life and poor palliation of the patient. Permanent endoesophageal intubation with tubes of the Celestin variety resulted in best palliation with minimal operative risk for most terminal patients. Colon bypass and occasional resection can accomplish the same goal and possibly provide long-term survival in good-risk, young patients with small tumors.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>77661</pmid><doi>10.1016/S0003-4975(10)63600-4</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The Annals of thoracic surgery, 1978-06, Vol.25 (6), p.516-520 |
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| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adenocarcinoma - complications Adult Aged Carcinoma, Squamous Cell - complications Esophageal Fistula - etiology Esophageal Fistula - mortality Esophageal Fistula - surgery Esophageal Neoplasms - complications Female Fistula - surgery Humans Intubation, Gastrointestinal Male Middle Aged Palliative Care Radiography Respiratory Tract Diseases - surgery Tracheoesophageal Fistula - diagnostic imaging Tracheoesophageal Fistula - surgery |
| title | Management of Malignant Esophagorespiratory Fistula |
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