The Nonoperative Approach to Esophageal Perforation Due to Celestin Tube Placement

Fulton, Robert L.; Rn, Garrison; Polk, Hiram C.

doi:10.1001/archsurg.1979.01370250092020

Cited by 5 publications

(1 citation statement)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…4,40,72,132,141,143,146,147,151,[155][156][157] If perforation is noted at the time of the procedure, then correct placement of the prosthesis may help to seal the tear, as most are small, and conservative management is successful in 66-94%. 72,143,151,154,156,158 Late perforation is also possible in 1-8% owing to pressure necrosis and can be fatal if aortic erosion occurs. 72,151 Since only radial force and the flange friction secure the tube, migration occurs in up to 30%, higher when used for soft, polypoid or necrotic tumours.…”

Section: Effectivenessmentioning

confidence: 99%

A pragmatic randomised controlled trial of the cost-effectiveness of palliative therapies for patients with inoperable oesophageal cancer

Shenfine

McNamee²,

Steen³

et al. 2005

Health Technol Assess

View full text Add to dashboard Cite

It was suggested that rigid tubes and 24-mm SEMS should no longer be recommended and bipolar electrocoagulation and ethanol tumour necrosis should not be used for primary palliation. The choice in palliation would between non-stent and 18-mm SEMS treatments, with non-stent therapies being made more available and accessible to reduce delay. A multidisciplinary team approach to palliation is also suggested. A randomised controlled clinical trial of 18-mm SEMS versus non-stent therapies with survival and quality of life end-points would be helpful, as would an audit of palliative patient admissions to determine the reasons and need for inpatient hospital care, with a view to implementing cycle-associated change to reduce inpatient stay. A study of delays in palliative radiotherapy treatment is also suggested, with a view to implementing cycle-associated change to reduce waiting time.

show abstract