Palliative Intubation in the Management of Esophageal Carcinoma

Girardet, R; Ransdell, Herbert T.; Wheat, Myron W.

doi:10.1016/s0003-4975(10)64380-9

Cited by 75 publications

(27 citation statements)

References 31 publications

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“…4). There appears to be a higher morbidity and mortality rate associated with this technique than with peroral placement [29,30]. The most common complications of prosthesis placement include esophageal perforation, prosthesis migration, pressure necrosis, and reflux of gastric contents with esophagitis or pulmonary sequelae.…”

Section: Esophageal Prosthesismentioning

confidence: 99%

Palliation of malignant esophageal obstruction

Boyce

1990

Dysphagia

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Progressive dysphagia is common in patients with advanced esophageal carcinoma. Multiple nonsurgical techniques are available to provide palliation and improved nutrition. Simple dilatation is the oldest technique and newer methods may offer greater efficacy. Laser therapy now provides an excellent opportunity to treat obstructing tumors. Placement of an esophageal prosthesis may become particularly useful when dilatation must be performed too frequently or has become ineffective or in the patient with an esophageal-pulmonary fistula. Newer techniques including BICAP tumor probe, intracavitary radiotherapy, or absolute alcohol injection offer promise. This review discusses the advantages and disadvantages of these different palliative techniques for patients with the extremely poor prognosis associated with esophageal cancer.

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Section: Esophageal Prosthesismentioning

confidence: 99%

Palliation of malignant esophageal obstruction

Boyce

1990

Dysphagia

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“…Depending on the type of such prosthetic devices and the endoscopic or operative method of insertion, one-fourth of the patients develop complications (37,53). The incidence of esophageal perforation is approximately 10%.…”

Section: Esophagealmentioning

confidence: 99%

“…The incidence of esophageal perforation is approximately 10%. Dislodgment of the tube and its impaction by food particles are the most common problems, respectively accounting for 39% and 31 % of all reported complications (53) (Fig. 3-7).…”

Section: Esophagealmentioning

confidence: 99%

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Complications of Gastrointestinal Intubation

Ghahremani¹

1981

Radiology of Iatrogenic Disorders

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“…'4 Although placement of the tube requires relatively minor operative maneuvers,14 complications such as perforation of the esophagus occasionally occur. 5 Despite recognition of this complication, few data are available in the literature concerning management of such a complication. Esophageal perforation, either spontaneous or iatrogenic, is generally associated with severe mediastinitis and a frequently fatal outcome.…”

mentioning

confidence: 99%