Malignant esophagorespiratory fistula: Management options and survival

Burt, Michael; Diehl, William K.; Martini, Nael; Bains, Manjit S.; Ginsberg, Robert J.; McCormack, Patricia; Rusch, Valerie W.

doi:10.1016/0003-4975(91)90005-b

Cited by 188 publications

(149 citation statements)

References 16 publications

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“…These life-threatening connections between the digestive tract and the airways are usually difficult to treat and are associated with poor prognosis. Patients receiving best supportive treatment survive a median of 22 days (Burt et al, 1991).There are no randomised controlled data on the use of SEMS in these patients. However, several case series have demonstrated that covered SEMS can lead to fistula occlusion in 70-100% of patients (May & Ell, 1998).…”

Section: Stents For Malignant Tracheo-oesophageal Fistulasmentioning

confidence: 99%

Stents in Gastrointestinal Endoscopy

Pavlides¹,

Gorard²

2011

Therapeutic Gastrointestinal Endoscopy

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Section: Stents For Malignant Tracheo-oesophageal Fistulasmentioning

confidence: 99%

Stents in Gastrointestinal Endoscopy

Pavlides¹,

Gorard²

2011

Therapeutic Gastrointestinal Endoscopy

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“…Advanced esophageal cancer sometimes forms malignant fistulas within airways or the mediastinum. More than half of such fistulas involve the trachea or main bronchus, which increases the risk of pneumonia (2). Meanwhile, the development of esophagopericardial fistulas, a life-threatening complication, is rarely reported (3)(4)(5)(6)(7).…”

Section: Introductionmentioning

confidence: 99%

Esophageal Cancer with an Esophagopericardial Fistula and Purulent Pericarditis

et al. 2013

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We herein present the case of a 56-year-old Japanese woman who developed purulent pericarditis after undergoing chemoradiotherapy for esophageal cancer. She developed epigastralgia and a fever and was admitted to our hospital. A physical examination revealed hypotension, tachycardia and pericardial friction rub. Echocardiography revealed moderate pericardial effusion. Based on these observations, the patient was diagnosed with cardiac tamponade. Computed tomography confirmed the presence of an esophagopericardial fistula. Treatment with pericardiocentesis, drainage and short-term intrapericardial administration of antibiotics relieved the patient's symptoms. Daily rinsing through a catheter with normal saline prevented relapse of the purulent pericarditis. Esophagopericardial fistulas are so rare that their treatment is not well-established. We herein report successful palliative care of a malignant esophagopericardial fistula associated with purulent pericarditis.

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“…10) (8,14). Esophageal endoprosthesis in the case of eso-tracheal fistula is extremely difficult (15)(16)(17).…”

Section: Descriptionmentioning

confidence: 99%

Laparogastroscopy and Esophageal Stenosis

A¹,

Hassan²,

Smarandache³

et al. 2018

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Chirurgia, 113 (1), 2018 www.revistachirurgia.ro 137 RezumatScop: Tehnică originală ce utilizează instrumentar laparoscopic într-o cameră de lucru endocavitară gastrică cu potenţial de abord al stomacului, esofagului şi D1. Principalul scop al laparogastroscopiei este îmbunătăţirea calităţii vieţii pacientului dezabilitat de tumora esofagiană. Această metodă prezintă multiple avantaje: asigurarea alimentării fiziologice, recoltarea materialelor pentru examenul histopatologic, rezolvarea fistulelor eso-traheale concomitent cu operaţia propusă, rol hemostatic prin compresiune, consum energetic şi plastic redus, reintegrare socio-economică rapidă, menajarea psihică a pacientului. Această metodă creşte durata de supravieţuiere printr-un regim relativ normal. Material şi metodă: Lucrarea vizează 162 de cazuri cu localizări diferite ale tumorii esofagiene, pacienţi cu diferite grade ale stenozei esofagiene, stadii diferite ale neoplasmului esofagian. Au fost incluşi atât pacienţii cu fistule eso-traheale cât şi cei care s-au prezentat cu gastro-sau jejunostomă de alimentaţie. Rezultate: Din 162 de cazuri, 33 de cazuri (20%) cu neoplasm esofagian cervical, 66 (41%) de cazuri cu neoplasm esofagian toracic şi 63 (39%) de cazuri cu neoplasm esofagian abdominal. Tipul histopatologic este reprezentat de 37% adenocarcinoame şi 63% carcinoame scuamoase. Din numărul total de cazuri, 87 (54%) nu au prezentat metastaze, iar 75 (46%) au avut determinări secundare. Cea mai frecevntă localizare a metastazelor este a fost la nivel pulmonar, urmată de hepatic (Fig. 1) şi osos. Analiza acestei intervenţii a demonstrat că s-au înregistrat complicaţii mult mai reduse atât din punctul de vedere numeric cât şi al gravităţii lor, se asigură o durată mai lungă de supravieţuire cu un indice de satisfacţie mult mai mare.

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Malignant esophagorespiratory fistula: Management options and survival

Cited by 188 publications

References 16 publications

Stents in Gastrointestinal Endoscopy

Stents in Gastrointestinal Endoscopy

Esophageal Cancer with an Esophagopericardial Fistula and Purulent Pericarditis

Laparogastroscopy and Esophageal Stenosis

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