Transnasal Fixation of the Esophageal Prosthesis

Abstract

We present a simple technique for the fixation of esophageal tubes. The endoprosthesis is anchored to a thin polyethylene catheter which is passed transnasally and attached to the ear. This method of treatment effectively prevents dislodgement. It is also suitable for placing a tube into the esophagus when the stenosis essential for anchorage is absent, for example in large fistulae, perforations, or suture dehiscence.

Endoscopic patch closure of malignant esophagotracheal fistula using Histoacryl glue

“…In comparison, peroral endoscopic esophageal intubation of prosthesis offers a success rate of 90% and a mortality rate of less than 5% [2,4,[6][7][8][9]. Modifications of the esophageal stents include cuffed tubes and tubes with fixation catheters [3,9]. The intubation procedure, however, is not without risk.…”